DIN/PIN/NPN Detail
10:00 ANTINEOPLASTIC AGENTS
Pomalyst
(POMALIDOMIDE)
3mg Cap
DIN/PIN/NPN:
02419602
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Interchangeables:
YES
Manufacturer:
Celgene Inc.
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
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