DIN/PIN/NPN Detail

92:00 UNCLASSIFIED THERAPEUTIC AGENTS

PMS-Levodopa-Carbidopa (LEVODOPA & CARBIDOPA)100mg & 10mg Tab

DIN/PIN/NPN:02549719

Interchangeables:

Manufacturer:

Pharmascience Inc.

Formulary Listing Date:

2025-04-30

Drug Benefit Price or Unit Price:

0.1479

Amount MOH Pays:

0.1479

Coverage Status:

General Benefit