DIN/PIN/NPN Detail |
20:00 BLOOD FORMATION AND COAGULATION | |
20:12:00 COAGULANTS AND ANTI-COAGULANTS | LU Criteria Text |
Fondaparinux Sodium Injection (FONDAPARINUX SODIUM)2.5mg/0.5mL Inj Sol-Pref Syr 0.5mL Pk (Preservative Free)
DIN/PIN/NPN:02406853
Interchangeables: | YES |
Manufacturer: | Dr. Reddy's Laboratories Inc. |
Formulary Listing Date: | 2014-07-30 |
Drug Benefit Price or Unit Price: | 11.1944 |
Amount MOH Pays: | 11.1944 |
Coverage Status: |
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