DIN/PIN/NPN Detail
92:00 UNCLASSIFIED THERAPEUTIC AGENTS
Octreotide Acetate Omega
(OCTREOTIDE)
200mcg/mL Inj Sol - 5mL Vial Pk
DIN/PIN/NPN:
02248642
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Interchangeables:
YES
Manufacturer:
Omega Laboratories Ltd.
Formulary Listing Date:
2008-03-25
Drug Benefit Price or Unit Price:
72.7725
Amount MOH Pays:
72.7725
Coverage Status:
General Benefit
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