DIN/PIN/NPN Detail |
|
DIN/PIN/NPN Detail |
|
| 92:00 UNCLASSIFIED THERAPEUTIC AGENTS | |
| Interchangeables: | YES |
| Manufacturer: | Marcan Pharmaceuticals Inc. |
| Formulary Listing Date: | 2019-12-20 |
| Drug Benefit Price or Unit Price: | 73.9096 |
| Amount MOH Pays: | 73.9096 |
| Coverage Status: |
|