DIN/PIN/NPN Detail
96:00 MISCELLANEOUS
96:01:00 NUTRITION PRODUCTS
Jevity 1 Cal
(NUTRITIONAL PRODUCT)
1.06kcal/mL Liq-235mL Pk
DIN/PIN/NPN:
97984060
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Interchangeables:
NO
Manufacturer:
Abbott Laboratories Limited
Formulary Listing Date:
1996-10-01
Drug Benefit Price or Unit Price:
N/A
Amount MOH Pays:
1.9200
Coverage Status:
Nutrition Product
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