DIN/PIN/NPN Detail |
|
| 28:00 CENTRAL NERVOUS SYSTEM DRUGS | |
| 28:92:00 MISCELLANEOUS CENTRAL NERVOUS SYSTEM DRUGS |
| Interchangeables: | YES |
| Manufacturer: | Auro Pharma Inc. |
| Formulary Listing Date: | 2019-04-30 |
| Drug Benefit Price or Unit Price: | 10.0850 |
| Amount MOH Pays: | N/A |
| Coverage Status: |
|