DIN/PIN/NPN Detail

92:00 UNCLASSIFIED THERAPEUTIC AGENTS

LU Criteria Text

Prograf (TACROLIMUS)5mg/mL Amp

DIN/PIN/NPN:02176009

Interchangeables:

NO

Manufacturer:

Astellas Pharma Canada Inc.

Formulary Listing Date:

1996-12-19

Drug Benefit Price or Unit Price:

128.2350

Amount MOH Pays:

128.2350

Coverage Status:

Limited Use Product