DIN/PIN/NPN Detail
96:00 MISCELLANEOUS
96:01:00 NUTRITION PRODUCTS
Pivot 1.5 CAL
(NUTRITIONAL PRODUCT)
1.5Kcal/mL Tetrapack-237mL Pk
DIN/PIN/NPN:
09858351
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Interchangeables:
NO
Manufacturer:
Abbott Laboratories Limited
Formulary Listing Date:
2024-10-31
Drug Benefit Price or Unit Price:
N/A
Amount MOH Pays:
12.5135
Coverage Status:
Nutrition Product
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