DIN/PIN/NPN Detail
92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
Stelara
(USTEKINUMAB)
90mg/mL Inj Sol-Pref Syr Pk
DIN/PIN/NPN:
02320681
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Interchangeables:
NO
Manufacturer:
Janssen Inc.
Formulary Listing Date:
2013-10-31
Drug Benefit Price or Unit Price:
4593.1400
Amount MOH Pays:
4593.1400
Coverage Status:
Limited Use Product
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