DIN/PIN/NPN Detail

08:00 ANTI-INFECTIVE AGENTS

08:18:00 ANTIVIRALS

Tivicay (DOLUTEGRAVIR)50mg Tab

DIN/PIN/NPN:02414945

Interchangeables:

NO

Manufacturer:

ViiV Healthcare ULC

Formulary Listing Date:

2015-04-30

Drug Benefit Price or Unit Price:

23.5367

Amount MOH Pays:

23.5367

Coverage Status:

General Benefit