DIN/PIN/NPN Detail |
|
| 40:00 ELECTROLYTIC, CALORIC AND WATER BALANCE | |
| 40:28:00 DIURETICS | LU Criteria Text |
| Interchangeables: | YES |
| Manufacturer: | Jamp Pharma Corporation |
| Formulary Listing Date: | 2024-03-28 |
| Drug Benefit Price or Unit Price: | 0.6055 |
| Amount MOH Pays: | 0.6055 |
| Coverage Status: |
|