DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:01:00 NUTRITION PRODUCTS

Perative (NUTRITIONAL PRODUCT) Liq-1000mL Pk

DIN/PIN/NPN:09854391

Interchangeables:

NO

Manufacturer:

Ross Laboratories-Abbott (Nutritional Products)

Formulary Listing Date:

2002-07-29

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

11.4800

Coverage Status:

Nutrition Product