DIN/PIN/NPN Detail
08:00 ANTI-INFECTIVE AGENTS
08:18:00 ANTIVIRALS
Intelence
(ETRAVIRINE)
200mg Tab
DIN/PIN/NPN:
02375931
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Interchangeables:
NO
Manufacturer:
Janssen Inc.
Formulary Listing Date:
2012-05-29
Drug Benefit Price or Unit Price:
12.6195
Amount MOH Pays:
12.6195
Coverage Status:
General Benefit
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