DIN/PIN/NPN Detail |
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48:00 COUGH PREPARATIONS | |
48:02:00 ANTI FIBROTIC AGENTS |
Interchangeables: | YES |
Manufacturer: | Pharmascience Inc. |
Formulary Listing Date: | 2022-12-21 |
Drug Benefit Price or Unit Price: | 20.1360 |
Amount MOH Pays: | 20.1360 |
Coverage Status: |
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