DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:01:00 NUTRITION PRODUCTS

Essential Care Junior (Unflavored) (NUTRITIONAL PRODUCT)1.0kcal/mL Pd-400g Pouch Pk

DIN/PIN/NPN:09858354

Interchangeables:

Manufacturer:

Formulary Listing Date:

2024-12-30

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

57.7800

Coverage Status: