DIN/PIN/NPN Detail

92:00 UNCLASSIFIED THERAPEUTIC AGENTS

LU Criteria Text

Revlimid (LENALIDOMIDE)10mg Cap

DIN/PIN/NPN:02304902

Interchangeables:

Manufacturer:

Bristol Myers Squibb Canada Inc

Formulary Listing Date:

2021-10-29

Drug Benefit Price or Unit Price:

361.0000

Amount MOH Pays:

90.2500

Coverage Status:

Limited Use Product