Product Details
Santyl
Collagenase250 Units/g
Ointment
30-g Tube Pack
DIN/PIN/NPN
09858336
Manufacturer
Smith & Nephew Inc.
Formulary Listing Date
2024-05-31
Unit Price
87.5000
Amount MOH Pays
87.5000
Coverage Status
Temporary Benefit
09858336
Smith & Nephew Inc.
2024-05-31
87.5000
87.5000
Temporary Benefit