DIN/PIN/NPN Detail
10:00 ANTINEOPLASTIC AGENTS
Zytiga
(ABIRATERONE ACETATE)
500mg Tab
DIN/PIN/NPN:
02457113
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Interchangeables:
YES
Manufacturer:
Janssen Inc.
Formulary Listing Date:
2021-03-29
Drug Benefit Price or Unit Price:
69.3810
Amount MOH Pays:
15.3125
Coverage Status:
General Benefit
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