DIN/PIN/NPN Detail

84:00 SKIN AND MUCOUS MEMBRANE PREPARATIONS

84:36:00 MISCELLANEOUS SKIN AND MUCOUS MEMBRANE AGENTS

Santyl (Temporary Benefit)(COLLAGENASE)250Unit/g Oint-30g Pk

DIN/PIN/NPN:09858336

Interchangeables:

Manufacturer:

Formulary Listing Date:

2024-05-31

Drug Benefit Price or Unit Price:

87.5000

Amount MOH Pays:

87.5000

Coverage Status: