DIN/PIN/NPN Detail
96:00 MISCELLANEOUS
96:01:00 NUTRITION PRODUCTS
Peptamen Junior 1.5
(NUTRITIONAL PRODUCT)
1.5Kcal/mL Liq - 250mL Tetra Pk
DIN/PIN/NPN:
09857562
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Interchangeables:
NO
Manufacturer:
Nestle Health Science
Formulary Listing Date:
2017-07-31
Drug Benefit Price or Unit Price:
N/A
Amount MOH Pays:
13.2224
Coverage Status:
Nutrition Product
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