DIN/PIN/NPN Detail |
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84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS | |
84:04:16 ANTI-INFECTIVES OTHER ANTI-INFECTIVES |
Interchangeables: | NO |
Manufacturer: | Smith & Nephew Inc. |
Formulary Listing Date: | 1999-09-15 |
Drug Benefit Price or Unit Price: | 10.9600 |
Amount MOH Pays: | 10.9600 |
Coverage Status: |
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