DIN/PIN/NPN Detail
10:00 ANTINEOPLASTIC AGENTS
Trelstar (1 Month)
(TRIPTORELIN PAMOATE)
3.75mg/Vial Inj Pd-Vial Pk
DIN/PIN/NPN:
02240000
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Interchangeables:
NO
Manufacturer:
Knight Therapeutics Inc.
Formulary Listing Date:
2007-01-02
Drug Benefit Price or Unit Price:
346.3100
Amount MOH Pays:
346.3100
Coverage Status:
General Benefit
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