DIN/PIN/NPN Detail

96:00 MISCELLANEOUS

96:01:00 NUTRITION PRODUCTS

Peptamen (NUTRITIONAL PRODUCT) Liq-250mL Pk

DIN/PIN/NPN:97984779

Interchangeables:

NO

Manufacturer:

Nestle Health Science

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

N/A

Amount MOH Pays:

8.8150

Coverage Status:

Nutrition Product