DIN/PIN/NPN Detail

88:00 VITAMINS

88:08:00 VITAMIN B

Jamp Leucovorin (LEUCOVORIN CALCIUM)5mg Tab

DIN/PIN/NPN:02548208

Interchangeables:

Manufacturer:

Jamp Pharma Corporation

Formulary Listing Date:

2025-03-31

Drug Benefit Price or Unit Price:

1.8388

Amount MOH Pays:

1.8388

Coverage Status:

General Benefit