DIN/PIN/NPN Detail |
92:00 UNCLASSIFIED THERAPEUTIC AGENTS | |
92:44:00 IMMUNOSUPPRESSIVE AGENTS | LU Criteria Text |
Interchangeables: | NO |
Manufacturer: | Eli Lilly Canada Inc. |
Formulary Listing Date: | 2021-08-31 |
Drug Benefit Price or Unit Price: | 52.9433 |
Amount MOH Pays: | 52.9433 |
Coverage Status: |
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