DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:01:00 NUTRITION PRODUCTS

NovaSource Renal (NUTRITIONAL PRODUCT) Liq-237mL Pk

DIN/PIN/NPN:09854258

Interchangeables:

NO

Manufacturer:

Nestle Health Science

Formulary Listing Date:

2001-10-11

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

2.3940

Coverage Status:

Nutrition Product