DIN/PIN/NPN Detail
92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
Stelara
(USTEKINUMAB)
45mg/0.5mL Inj Sol-Pref Syr Pk
DIN/PIN/NPN:
02320673
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Interchangeables:
NO
Manufacturer:
Janssen Inc.
Formulary Listing Date:
2010-09-09
Drug Benefit Price or Unit Price:
4593.1400
Amount MOH Pays:
4593.1400
Coverage Status:
Limited Use Product
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