DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:01:00 NUTRITION PRODUCTS

Alfamino (Temporary Benefit)(NUTRITIONAL PRODUCT)1976Kcal/400g Pd-400g Can

DIN/PIN/NPN:09858159

Interchangeables:

NO

Manufacturer:

Nestle Health Science

Formulary Listing Date:

2022-07-29

Drug Benefit Price or Unit Price:

64.0200

Amount MOH Pays:

64.0200

Coverage Status:

Temporary Benefit