DIN/PIN/NPN Detail

20:00 BLOOD FORMATION AND COAGULATION

20:16:00 HEMATOPOIETIC AGENTS

LU Criteria Text

Eprex (EPOETIN ALFA)10,000IU/mL Pref Syr - 1mL Pk

DIN/PIN/NPN:02231587

Interchangeables:

NO

Manufacturer:

Formulary Listing Date:

2007-01-02

Drug Benefit Price or Unit Price:

142.5000

Amount MOH Pays:

142.5000

Coverage Status:

Limited Use Product