DIN/PIN/NPN Detail |
|
| 92:00 UNCLASSIFIED THERAPEUTIC AGENTS | |
| 92:92:00 OTHER MISCELLANEOUS THERAPEUTIC AGENTS | LU Criteria Text |
| Interchangeables: | NO |
| Manufacturer: | Ipsen Limited |
| Formulary Listing Date: | 2018-09-27 |
| Drug Benefit Price or Unit Price: | 642.6000 |
| Amount MOH Pays: | 642.6000 |
| Coverage Status: |
|