DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:01:00 NUTRITION PRODUCTS

Resource Kid Essentials 1.5 (NUTRITIONAL PRODUCT)1.5kcal/mL Liq-237mL Pk

DIN/PIN/NPN:09857142

Interchangeables:

NO

Manufacturer:

Nestle Health Science

Formulary Listing Date:

2005-09-27

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

2.7480

Coverage Status:

Nutrition Product