DIN/PIN/NPN Detail |
|
| 24:00 CARDIOVASCULAR DRUGS | |
| 24:08:16 HYPOTENSIVE DRUGS (FOR DIURETICS SEE 40:28) CENTRAL ALPHA-AGONISTS | LU Criteria Text |
| Interchangeables: | YES |
| Manufacturer: | Jamp Pharma Corporation |
| Formulary Listing Date: | 2022-03-31 |
| Drug Benefit Price or Unit Price: | 2.5369 |
| Amount MOH Pays: | 2.5369 |
| Coverage Status: |
|