DIN/PIN/NPN Detail

68:00 HORMONES AND SUBSTITUTES

68:20:14 ANTI-DIABETIC AGENTS INSULINS (LONG ACTING)

Tresiba (INSULIN DEGLUDEC)100U/mL Inj Sol-Flextouch Pref Pen 5x3mL Pk

DIN/PIN/NPN:02467879

Interchangeables:

Manufacturer:

Formulary Listing Date:

2018-09-27

Drug Benefit Price or Unit Price:

114.1700

Amount MOH Pays:

114.1700

Coverage Status: