DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:01:00 NUTRITION PRODUCTS

Pediasure Plus with Fibre (NUTRITIONAL PRODUCT)1.5kcal/mL Liq-235mL Pk

DIN/PIN/NPN:09857419

Interchangeables:

NO

Manufacturer:

Ross Laboratories-Abbott (Nutritional Products)

Formulary Listing Date:

2003-09-04

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

2.7400

Coverage Status:

Nutrition Product