DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:01:00 NUTRITION PRODUCTS

KetoCal 4:1 (Vanilla Flavour) (NUTRITIONAL PRODUCT)7.05kcal/g Pd-300g Pk

DIN/PIN/NPN:09857599

Interchangeables:

NO

Manufacturer:

Nutricia North America

Formulary Listing Date:

2018-11-29

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

31.8000

Coverage Status:

Nutrition Product