DIN/PIN/NPN Detail

28:00 CENTRAL NERVOUS SYSTEM DRUGS

28:12:00 ANTICONVULSANTS

Carbamazepine ER Tablets, USP 200mg (Temporary Benefit)(CARBAMAZEPINE)200mg ER Tab

DIN/PIN/NPN:09858341

Interchangeables:

NO

Manufacturer:

Septa Pharmaceuticals Inc.

Formulary Listing Date:

2024-06-28

Drug Benefit Price or Unit Price:

4.7080

Amount MOH Pays:

4.7080

Coverage Status:

Temporary Benefit