DIN/PIN/NPN Detail

08:00 ANTI-INFECTIVE AGENTS

08:18:00 ANTIVIRALS

LU Criteria Text

Harvoni (LEDIPASVIR & SOFOSBUVIR)90mg & 400mg Tab

DIN/PIN/NPN:02432226

Interchangeables:

NO

Manufacturer:

Gilead Sciences Canada, Inc.

Formulary Listing Date:

2017-02-28

Drug Benefit Price or Unit Price:

797.6190

Amount MOH Pays:

797.6190

Coverage Status:

Limited Use Product