DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:01:00 NUTRITION PRODUCTS

Glucerna 1.0 Cal (NUTRITIONAL PRODUCT)1kcal/mL Liq-235mL Pk

DIN/PIN/NPN:09854392

Interchangeables:

NO

Manufacturer:

Abbott Laboratories Limited

Formulary Listing Date:

2002-07-29

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

1.8000

Coverage Status:

Nutrition Product