DIN/PIN/NPN Detail

92:00 UNCLASSIFIED THERAPEUTIC AGENTS

Jamp-Mycophenolate Capsules (MYCOPHENOLATE MOFETIL)250mg Cap

DIN/PIN/NPN:02386399

Interchangeables:

Manufacturer:

Jamp Pharma Corporation

Formulary Listing Date:

2012-08-27

Drug Benefit Price or Unit Price:

0.3712

Amount MOH Pays:

0.3712

Coverage Status:

General Benefit