DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS

Combigan (BRIMONIDINE TARTRATE & TIMOLOL MALEATE)0.2% & 0.5% Oph Sol-10mL Pk

DIN/PIN/NPN:09857298

Interchangeables:

Manufacturer:

Formulary Listing Date:

2008-08-28

Drug Benefit Price or Unit Price:

46.5800

Amount MOH Pays:

23.2900

Coverage Status: