|
|
40
|
|
|
B2222
|
|
|
HUMULIN-R CARTRIDGE INJ (LIL/STO) INSULIN RA
|
|
|
|
|
|
5X3ML
|
|
|
C
|
|
|
43.30
|
|
|
|
|
|
2022-07-11
|
|
|
2024-03-31
|
|
|
Add to Contract as Cat C
|
|
|
2022-07-11
|