DIN/PIN/NPN Detail

10:00 ANTINEOPLASTIC AGENTS

Procytox (CYCLOPHOSPHAMIDE)25mg Tab

DIN/PIN/NPN:02241795

Interchangeables:

NO

Manufacturer:

Baxter Corporation

Formulary Listing Date:

2005-05-25

Drug Benefit Price or Unit Price:

0.3545

Amount MOH Pays:

0.3545

Coverage Status:

General Benefit