DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:01:00 NUTRITION PRODUCTS

Vital Peptide 1.5 Cal (NUTRITIONAL PRODUCT)1.5Kcal/mL Liq-Vanilla Flavour,1000mL Ready to Hang container

DIN/PIN/NPN:09858103

Interchangeables:

Manufacturer:

Formulary Listing Date:

2020-01-31

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

35.2145

Coverage Status: