DIN/PIN/NPN Detail

08:00 ANTI-INFECTIVE AGENTS

08:18:00 ANTIVIRALS

LU Criteria Text

Zepatier (ELBASVIR & GRAZOPREVIR)50mg & 100mg Tab

DIN/PIN/NPN:02451131

Interchangeables:

NO

Manufacturer:

Merck Canada Inc.

Formulary Listing Date:

2017-02-28

Drug Benefit Price or Unit Price:

666.9400

Amount MOH Pays:

666.9400

Coverage Status:

Limited Use Product