DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:01:00 NUTRITION PRODUCTS

Boost 1.5 Plus Calories (NUTRITIONAL PRODUCT)1.5kcal/mL Liq-237mL Pk

DIN/PIN/NPN:97982610

Interchangeables:

NO

Manufacturer:

Nestle Health Science

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

1.7392

Coverage Status:

Nutrition Product