DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:05:00 DIABETIC TESTING AGENTS

Ideal Life Glucose Test Strip (GLUCOSE OXIDASE) Strip

DIN/PIN/NPN:09857538

Interchangeables:

NO

Manufacturer:

Ideal Life Inc.

Formulary Listing Date:

2016-02-25

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

0.6800

Coverage Status:

Diabetic Testing Agent