DIN/PIN/NPN Detail |
92:00 UNCLASSIFIED THERAPEUTIC AGENTS | |
LU Criteria Text |
Interchangeables: | YES |
Manufacturer: | Accord Healthcare Inc. |
Formulary Listing Date: | 2023-11-30 |
Drug Benefit Price or Unit Price: | 1.2978 |
Amount MOH Pays: | 1.2978 |
Coverage Status: |
|