DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:01:00 NUTRITION PRODUCTS

KetoCal 4:1 (Vanilla Flavoured) (NUTRITIONAL PRODUCT)1.5kcal/mL Liq-237mL Tetra Pk

DIN/PIN/NPN:09857388

Interchangeables:

Manufacturer:

Formulary Listing Date:

2011-08-04

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

5.7463

Coverage Status: