DIN/PIN/NPN Detail |
|
| 56:00 GASTROINTESTINAL DRUGS | |
| 56:40:00 MISCELLANEOUS G.I. DRUGS | LU Criteria Text |
Metoclopramide Hydrochloride Injection (METOCLOPRAMIDE HCL)5mg/mL Inj Sol (Preservative Free)
DIN/PIN/NPN:02537397
| Interchangeables: | YES |
| Manufacturer: | Jamp Pharma Corporation |
| Formulary Listing Date: | 2024-04-30 |
| Drug Benefit Price or Unit Price: | 2.3748 |
| Amount MOH Pays: | 2.3748 |
| Coverage Status: |
|