DIN/PIN/NPN Detail |
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96:00 MISCELLANEOUS | |
96:01:00 NUTRITION PRODUCTS |
Interchangeables: | NO |
Manufacturer: | Nutricia North America |
Formulary Listing Date: | 2019-01-31 |
Drug Benefit Price or Unit Price: | N/A |
Amount MOH Pays: | 7.0561 |
Coverage Status: |
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