DIN/PIN/NPN Detail |
![]() |
92:00 UNCLASSIFIED THERAPEUTIC AGENTS | |
LU Criteria Text |
Xeomin (CLOSTRIDIUM BOTULINUM NEUROTOXIN TYPE A)100 LD50 Units Pd for Inj-Vial Pk
DIN/PIN/NPN:02324032
Interchangeables: | NO |
Manufacturer: | Merz Pharmaceutical Gmbh |
Formulary Listing Date: | 2011-05-19 |
Drug Benefit Price or Unit Price: | 338.9100 |
Amount MOH Pays: | 338.9100 |
Coverage Status: |
|