DIN/PIN/NPN Detail

92:00 UNCLASSIFIED THERAPEUTIC AGENTS

LU Criteria Text

Dostinex (CABERGOLINE)0.5mg Tab

DIN/PIN/NPN:02242471

Interchangeables:

Manufacturer:

Pharmacia & Upjohn

Formulary Listing Date:

2008-06-27

Drug Benefit Price or Unit Price:

23.0588

Amount MOH Pays:

7.2907

Coverage Status:

Limited Use Product