DIN/PIN/NPN Detail |
|
DIN/PIN/NPN Detail |
|
| 96:00 MISCELLANEOUS | |
| 96:01:00 NUTRITION PRODUCTS |
| Interchangeables: | NO |
| Manufacturer: | Mead Johnson & Company LLC |
| Formulary Listing Date: | 2022-06-30 |
| Drug Benefit Price or Unit Price: | 8.3200 |
| Amount MOH Pays: | 8.3200 |
| Coverage Status: |
|