DIN/PIN/NPN Detail
92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
Prograf
(TACROLIMUS)
1mg Cap
DIN/PIN/NPN:
02175991
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Interchangeables:
YES
Manufacturer:
Astellas Pharma Canada Inc.
Formulary Listing Date:
1996-12-19
Drug Benefit Price or Unit Price:
2.5956
Amount MOH Pays:
1.2978
Coverage Status:
Limited Use Product
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