DIN/PIN/NPN Detail |
![]() |
20:00 BLOOD FORMATION AND COAGULATION | |
20:12:00 COAGULANTS AND ANTI-COAGULANTS | LU Criteria Text |
Interchangeables: | NO |
Manufacturer: | Leo Pharma Inc. |
Formulary Listing Date: | 1998-12-31 |
Drug Benefit Price or Unit Price: | 114.9800 |
Amount MOH Pays: | 114.9800 |
Coverage Status: |
|