| Name | Value |
|---|---|
| SERVICE REASON CODE | C42759 |
| BRIEF DESCRIPTION | TABLET TRITURATE DOSAGE FORM |
| CODE TYPE ABBREVIATION | NCI |
| CODE DESCRIPTION | NCIt |
| FULL DESCRIPTION | A compressed cylindrical tablet composed of medicated powder and dispersed with a mixture of lactose, powdered sucrose and a moistening agent. |
| NCIT SUBTYPE | StrengthForm |