DIN/PIN/NPN Detail
92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
Copaxone
(GLATIRAMER ACETATE)
20mg/mL Inj Sol Pref Syr-1mL Pk
DIN/PIN/NPN:
02245619
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Interchangeables:
YES
Manufacturer:
Teva Canada Innovation.
Formulary Listing Date:
2024-05-31
Drug Benefit Price or Unit Price:
50.6522
Amount MOH Pays:
27.8587
Coverage Status:
Limited Use Product
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