DIN/PIN/NPN Detail |
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68:00 HORMONES AND SUBSTITUTES | |
68:20:14 ANTI-DIABETIC AGENTS INSULINS (LONG ACTING) | LU Criteria Text |
Interchangeables: | NO |
Manufacturer: | Sanofi Aventis Pharma |
Formulary Listing Date: | 2008-12-03 |
Drug Benefit Price or Unit Price: | 61.6900 |
Amount MOH Pays: | 61.6900 |
Coverage Status: |
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