DIN/PIN/NPN Detail
92:00 UNCLASSIFIED THERAPEUTIC AGENTS
Somatuline Autogel
(LANREOTIDE ACETATE)
90mg/0.3mL ER Pref Syr-0.3mL Pk
DIN/PIN/NPN:
02283409
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Interchangeables:
NO
Manufacturer:
Ipsen Limited
Formulary Listing Date:
2008-11-04
Drug Benefit Price or Unit Price:
1843.2658
Amount MOH Pays:
1843.2658
Coverage Status:
General Benefit
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