DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:01:00 NUTRITION PRODUCTS

Resource Diabetic 1.05 (NUTRITIONAL PRODUCT)1.06kcal/mL Liq-250mL Pk

DIN/PIN/NPN:09857427

Interchangeables:

NO

Manufacturer:

Nestle Health Science

Formulary Listing Date:

2003-09-04

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

2.0352

Coverage Status:

Nutrition Product