Product Details

NYDA

Dimethicone
50% w/w
Topical Solution
50-mL Pack

DIN/PIN/NPN

02373785

Manufacturer

G Pohl Boskamp GMBH & Co KG, hohenlockstedt

Formulary Listing Date

2013-10-31  

Unit Price

22.4200

Amount MOH Pays

22.4200

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

P03AX05

Interchangeable Products

NO  

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph