DIN/PIN/NPN Detail |
20:00 BLOOD FORMATION AND COAGULATION | |
20:12:00 COAGULANTS AND ANTI-COAGULANTS | LU Criteria Text |
Interchangeables: | YES |
Manufacturer: | Bayer Inc., Health Care Division |
Formulary Listing Date: | 2012-07-27 |
Drug Benefit Price or Unit Price: | 2.8700 |
Amount MOH Pays: | 0.7175 |
Coverage Status: |
|