DIN/PIN/NPN Detail |
|
DIN/PIN/NPN Detail |
|
| 84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS | |
| 84:04:12 ANTI-INFECTIVES PARASITICIDES |
| Interchangeables: | NO |
| Manufacturer: | Medical Futures Inc. |
| Formulary Listing Date: | 2008-02-12 |
| Drug Benefit Price or Unit Price: | 12.6500 |
| Amount MOH Pays: | 12.6500 |
| Coverage Status: |
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