DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS

Perichlor Without Alcohol (CHLORHEXIDINE GLUCONATE)0.12% Oral Rinse

DIN/PIN/NPN:02493160

Interchangeables:

Manufacturer:

Pendopharm, Division of Pharmascience Inc.

Formulary Listing Date:

2024-03-28

Drug Benefit Price or Unit Price:

0.0253

Amount MOH Pays:

N/A

Coverage Status:

Off-Formulary Interchangeable