DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:01:00 NUTRITION PRODUCTS

Similac Advance NeoSure (NUTRITIONAL PRODUCT)5.15kcal/g Pd-363g Pk

DIN/PIN/NPN:09857124

Interchangeables:

NO

Manufacturer:

Abbott Laboratories Limited

Formulary Listing Date:

2004-07-20

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

14.9900

Coverage Status:

Nutrition Product