DIN/PIN/NPN Detail |
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68:00 HORMONES AND SUBSTITUTES | |
68:20:02 ANTI-DIABETIC AGENTS ORAL ANTI-DIABETIC AGENTS | LU Criteria Text |
Interchangeables: | YES |
Manufacturer: | Marcan Pharmaceuticals Inc. |
Formulary Listing Date: | 2020-03-31 |
Drug Benefit Price or Unit Price: | 0.1866 |
Amount MOH Pays: | 0.1866 |
Coverage Status: |
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