DIN/PIN/NPN Detail |
|
| 08:00 ANTI-INFECTIVE AGENTS | |
| 08:18:00 ANTIVIRALS | LU Criteria Text |
| Interchangeables: | YES |
| Manufacturer: | Jamp Pharma Corporation |
| Formulary Listing Date: | 2019-02-28 |
| Drug Benefit Price or Unit Price: | 4.8884 |
| Amount MOH Pays: | 4.8884 |
| Coverage Status: |
|