DIN/PIN/NPN Detail

56:00 GASTROINTESTINAL DRUGS

56:22:00 ANTIEMETICS AND ANTINAUSEANTS

LU Criteria Text

Apo-Granisetron (GRANISETRON HCL)1mg Tab

DIN/PIN/NPN:02308894

Interchangeables:

Manufacturer:

Formulary Listing Date:

2009-05-20

Drug Benefit Price or Unit Price:

4.5000

Amount MOH Pays:

4.5000

Coverage Status:

Limited Use Product