DIN/PIN/NPN Detail |
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96:00 MISCELLANEOUS | |
96:01:00 NUTRITION PRODUCTS |
Similac Alimentum (Temporary Benefit)(NUTRITIONAL PRODUCT)0.677kcal/mL Pd-946mL Bottle
DIN/PIN/NPN:09858158
Interchangeables: | NO |
Manufacturer: | Abbott Laboratories Limited |
Formulary Listing Date: | 2022-06-30 |
Drug Benefit Price or Unit Price: | 5.6278 |
Amount MOH Pays: | 5.6278 |
Coverage Status: |
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