DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:01:00 NUTRITION PRODUCTS

Vivonex Plus (NUTRITIONAL PRODUCT) Pd-79.5g Pk

DIN/PIN/NPN:97982830

Interchangeables:

NO

Manufacturer:

Nestle Health Science

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

7.0300

Coverage Status:

Nutrition Product