DIN/PIN/NPN Detail
92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
Ursodiol C
(URSODIOL)
500mg Tab
DIN/PIN/NPN:
02515539
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Interchangeables:
YES
Manufacturer:
Sanis Health Inc.
Formulary Listing Date:
2021-12-17
Drug Benefit Price or Unit Price:
0.7242
Amount MOH Pays:
0.7242
Coverage Status:
Limited Use Product
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