Interchangeable Grouping
You can sort your results in ascending / descending order by clicking on the column headings.
52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS
52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS
LU Criteria Text
BIMATOPROST
0.03% Oph Sol
Interchangeables found: 2
New Search
DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02245860
Lumigan
(Not a Benefit)
N/A
N/A
02429063
Vistitan
9.1936
9.1936
Back
New Search