DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:01:00 NUTRITION PRODUCTS

Monogen (Temporary Benefit)(NUTRITIONAL PRODUCT)4.41cal/g Pd-400g Can with DHA & ARA (Unflavoured)

DIN/PIN/NPN:09858280

Interchangeables:

Manufacturer:

Formulary Listing Date:

2023-09-28

Drug Benefit Price or Unit Price:

38.3333

Amount MOH Pays:

38.3333

Coverage Status: