DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:05:00 DIABETIC TESTING AGENTS

Spirit Blood Glucose Test Strip (GLUCOSE OXIDASE)Strip

DIN/PIN/NPN:09857547

Interchangeables:

NO

Manufacturer:

ARA Pharmaceuticals Inc.

Formulary Listing Date:

2016-08-30

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

0.6912

Coverage Status:

Diabetic Testing Agent