DIN/PIN/NPN Detail |
92:00 UNCLASSIFIED THERAPEUTIC AGENTS | |
92:36:00 DISEASE-MODIFYING ANTIRHEUMATIC AGENTS | LU Criteria Text |
Interchangeables: | NO |
Manufacturer: | Samsung Bioepis Co. Ltd |
Formulary Listing Date: | 2017-07-31 |
Drug Benefit Price or Unit Price: | 241.0000 |
Amount MOH Pays: | 241.0000 |
Coverage Status: |
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