DIN/NPN/PIN 80019649 D3-DOL 400 UNIT / ML ORAL DROPS VITAMIN D3 |
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Date Listed/Coverage Update: | 01-Jun-2013 | ||||
Unit Price: | 5.3892 | ||||
LCA Price: | N/A | ||||
MAC Price: |
N/A |
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Unit of Issue: | Millilitre | ||||
Manufacturer: | JAMP PHARMA CORPORATION (JPC) | ||||
ATC: | A11CC05 | ||||
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Interchangeable Products: | No | ||||
Coverage Status: | RESTRICTED BENEFIT |
Applies to Clients of: | Child and Family Services (Group 20403) Alberta Child Health Benefit (Group 20400) Children and Youth Services (Group 19824) Income Support (Group 19823) Alberta Human Services (AISH) (Group 19823) Alberta Adult Health Benefit (AAHB) (Group 23609) |
Special Authorization Request Form: |
N/A |
ALBERTA HUMAN SERVICES RESTRICTED BENEFIT |
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