DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:05:00 DIABETIC TESTING AGENTS

GlucoDr. Auto Test Strip (FAD-GLUCOSE DEHYDROGENASE (FAD-GDH)) Strip

DIN/PIN/NPN:09857593

Interchangeables:

NO

Manufacturer:

Allmedicus Co., Ltd.

Formulary Listing Date:

2018-03-29

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

0.7290

Coverage Status:

Diabetic Testing Agent