DIN/PIN/NPN Detail |
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92:00 UNCLASSIFIED THERAPEUTIC AGENTS | |
LU Criteria Text |
Xeomin (CLOSTRIDIUM BOTULINUM NEUROTOXIN TYPE A)50 LD50 Units Pd for Inj-Vial Pk
DIN/PIN/NPN:02371081
Interchangeables: | NO |
Manufacturer: | Merz Pharmaceutical Gmbh |
Formulary Listing Date: | 2013-10-31 |
Drug Benefit Price or Unit Price: | 169.4550 |
Amount MOH Pays: | 169.4550 |
Coverage Status: |
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