DIN/PIN/NPN Detail
08:00 ANTI-INFECTIVE AGENTS
08:18:00 ANTIVIRALS
Cytovene
(GANCICLOVIR SODIUM)
500mg/Vial Pd Inj-10mL Pk
DIN/PIN/NPN:
02162695
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Interchangeables:
NO
Manufacturer:
Cheplapharm Arzneimittel GmbH
Formulary Listing Date:
2007-01-02
Drug Benefit Price or Unit Price:
44.5480
Amount MOH Pays:
44.5480
Coverage Status:
General Benefit
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