DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:05:00 DIABETIC TESTING AGENTS

GE200 Blood Glucose Test Strips (FAD-GLUCOSE DEHYDROGENASE (FAD-GDH)) Strip

DIN/PIN/NPN:09857525

Interchangeables:

NO

Manufacturer:

Bionime Corporation

Formulary Listing Date:

2015-05-28

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

0.5508

Coverage Status:

Diabetic Testing Agent