DIN/PIN/NPN Detail

10:00 ANTINEOPLASTIC AGENTS

Lupron Depot PDS (LEUPROLIDE ACETATE)3.75mg Inj-Kit

DIN/PIN/NPN:00884502

Interchangeables:

NO

Manufacturer:

Abbott Laboratories Limited

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

389.1300

Amount MOH Pays:

389.1300

Coverage Status:

General Benefit