DIN/PIN/NPN Detail
24:00 CARDIOVASCULAR DRUGS
24:06:00 ANTILIPEMIC DRUGS
LU Criteria Text
Repatha
(EVOLOCUMAB)
140mg/mL Inj Sol-Pref Syr Autoinj
DIN/PIN/NPN:
02446057
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Interchangeables:
NO
Manufacturer:
Amgen Canada Inc.
Formulary Listing Date:
2018-04-30
Drug Benefit Price or Unit Price:
291.6650
Amount MOH Pays:
291.6650
Coverage Status:
Limited Use Product
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