DIN/PIN/NPN Detail |
84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS | |
84:36:00 MISCELLANEOUS SKIN AND MUCOUS MEMBRANE AGENTS | LU Criteria Text |
Interchangeables: | NO |
Manufacturer: | Novartis Pharma Canada Inc. |
Formulary Listing Date: | 2016-08-30 |
Drug Benefit Price or Unit Price: | 934.0400 |
Amount MOH Pays: | 934.0400 |
Coverage Status: |
|