DIN/PIN/NPN Detail |
92:00 UNCLASSIFIED THERAPEUTIC AGENTS | |
LU Criteria Text |
Interchangeables: | YES |
Manufacturer: | Searchlight Pharma Inc. |
Formulary Listing Date: | 2011-12-15 |
Drug Benefit Price or Unit Price: | 1.6116 |
Amount MOH Pays: | 0.8058 |
Coverage Status: |
|