DIN/PIN/NPN Detail
10:00 ANTINEOPLASTIC AGENTS
Faslodex
(FULVESTRANT)
50mg/mL Inj Sol
DIN/PIN/NPN:
02248624
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Interchangeables:
YES
Manufacturer:
AstraZeneca
Formulary Listing Date:
2019-03-28
Drug Benefit Price or Unit Price:
132.8093
Amount MOH Pays:
40.8027
Coverage Status:
General Benefit
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