DIN/PIN/NPN Detail

08:00 ANTI-INFECTIVE AGENTS

08:18:00 ANTIVIRALS

LU Criteria Text

Valcyte (VALGANCICLOVIR)450mg Tab

DIN/PIN/NPN:02245777

Interchangeables:

Manufacturer:

Cheplapharm Arzneimittel GmbH

Formulary Listing Date:

2003-04-16

Drug Benefit Price or Unit Price:

27.7347

Amount MOH Pays:

5.8553

Coverage Status:

Limited Use Product