DIN/PIN/NPN Detail
96:00 MISCELLANEOUS
96:01:00 NUTRITION PRODUCTS
Isosource 2.0
(NUTRITIONAL PRODUCT)
2.0kcal/mL Ready-To-Hang 1000mL Pk
DIN/PIN/NPN:
09858121
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Interchangeables:
NO
Manufacturer:
Nestle Health Science
Formulary Listing Date:
2020-08-28
Drug Benefit Price or Unit Price:
N/A
Amount MOH Pays:
10.0800
Coverage Status:
Nutrition Product
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