DIN/PIN/NPN Detail |
92:00 UNCLASSIFIED THERAPEUTIC AGENTS | |
92:36:00 DISEASE-MODIFYING ANTIRHEUMATIC AGENTS | LU Criteria Text |
Interchangeables: | YES |
Manufacturer: | Pfizer Canada Inc. |
Formulary Listing Date: | 2016-12-22 |
Drug Benefit Price or Unit Price: | 24.7733 |
Amount MOH Pays: | 5.9897 |
Coverage Status: |
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