DIN/PIN/NPN Detail

20:00 BLOOD FORMATION AND COAGULATION

20:16:00 HEMATOPOIETIC AGENTS

Lapelga (PEGFILGRASTIM)10mg/mL Inj Sol-Pref Syr - 0.6mL Pk (Preservative Free)

DIN/PIN/NPN:02474565

Interchangeables:

Manufacturer:

Formulary Listing Date:

2019-08-30

Drug Benefit Price or Unit Price:

1375.0000

Amount MOH Pays:

1375.0000

Coverage Status: