DIN/PIN/NPN Detail |
52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS | Therapeutic Note(s) |
52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS |
Interchangeables: | YES |
Manufacturer: | Jamp Pharma Corporation |
Formulary Listing Date: | 2024-03-28 |
Drug Benefit Price or Unit Price: | 1.2397 |
Amount MOH Pays: | 1.2397 |
Coverage Status: |
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