DIN/PIN/NPN Detail
96:00 MISCELLANEOUS
96:01:00 NUTRITION PRODUCTS
MCT Oil
(NUTRITIONAL PRODUCT)
7.7kcal/mL Liq-946mL Pk
DIN/PIN/NPN:
97904473
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Interchangeables:
NO
Manufacturer:
Nestle Health Science
Formulary Listing Date:
1996-10-01
Drug Benefit Price or Unit Price:
N/A
Amount MOH Pays:
34.4900
Coverage Status:
Nutrition Product
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