DIN/PIN/NPN Detail |
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20:00 BLOOD FORMATION AND COAGULATION | |
20:16:00 HEMATOPOIETIC AGENTS |
Interchangeables: | YES |
Manufacturer: | GlaxoSmithKline Inc., GlaxoSmithKline Consumer Health Care |
Formulary Listing Date: | 2023-07-31 |
Drug Benefit Price or Unit Price: | 65.0000 |
Amount MOH Pays: | 55.2500 |
Coverage Status: |
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