DIN/PIN/NPN Detail

92:00 UNCLASSIFIED THERAPEUTIC AGENTS

LU Criteria Text

Prolia (Preservative Free) (DENOSUMAB)60mg/mL Inj Sol-Pref Syr

DIN/PIN/NPN:02343541

Interchangeables:

NO

Manufacturer:

Amgen Canada Inc.

Formulary Listing Date:

2012-02-29

Drug Benefit Price or Unit Price:

440.1000

Amount MOH Pays:

440.1000

Coverage Status:

Limited Use Product