DIN/PIN/NPN Detail

10:00 ANTINEOPLASTIC AGENTS

Pomalyst (POMALIDOMIDE)1mg Cap

DIN/PIN/NPN:02419580

Interchangeables:

Manufacturer:

Formulary Listing Date:

2023-04-28

Drug Benefit Price or Unit Price:

500.0000

Amount MOH Pays:

425.0000

Coverage Status:

Off-Formulary Interchangeable
Exceptional Access Program Product