DIN/PIN/NPN Detail

10:00 ANTINEOPLASTIC AGENTS

Zytiga (ABIRATERONE ACETATE)500mg Tab

DIN/PIN/NPN:02457113

Interchangeables:

Manufacturer:

Formulary Listing Date:

2021-03-29

Drug Benefit Price or Unit Price:

69.3810

Amount MOH Pays:

52.0625

Coverage Status:

Off-Formulary Interchangeable
Exceptional Access Program Product