DIN/PIN/NPN Detail

40:00 ELECTROLYTIC, CALORIC AND WATER BALANCE

40:12:00 REPLACEMENT AGENTS

Pedialyte Flavored (ELECTROLYTE & DEXTROSE) O/L

DIN/PIN/NPN:80074173

Interchangeables:

Manufacturer:

Abbott Laboratories Limited

Formulary Listing Date:

2018-08-30

Drug Benefit Price or Unit Price:

0.0079

Amount MOH Pays:

0.0079

Coverage Status:

General Benefit