DIN/PIN/NPN Detail

10:00 ANTINEOPLASTIC AGENTS

Hexalen (ALTRETAMINE)50mg Cap

DIN/PIN/NPN:02126230

Interchangeables:

NO

Manufacturer:

Eli Lilly Canada Inc.

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

3.3600

Amount MOH Pays:

3.3600

Coverage Status:

General Benefit