DIN/PIN/NPN Detail

88:00 VITAMINS

88:08:00 VITAMIN B

Riva Leucovorin (LEUCOVORIN CALCIUM)5mg Tab

DIN/PIN/NPN:02493357

Interchangeables:

Manufacturer:

Laboratoire Riva Inc.

Formulary Listing Date:

2020-11-30

Drug Benefit Price or Unit Price:

3.6776

Amount MOH Pays:

3.6776

Coverage Status:

General Benefit