DIN/PIN/NPN Detail

20:00 BLOOD FORMATION AND COAGULATION

20:16:00 HEMATOPOIETIC AGENTS

Fulphila (PEGFILGRASTIM)10mg/mL Inj Sol-Pref Syr

DIN/PIN/NPN:02484153

Interchangeables:

NO

Manufacturer:

Formulary Listing Date:

2020-05-29

Drug Benefit Price or Unit Price:

1375.0000

Amount MOH Pays:

1375.0000

Coverage Status:

General Benefit