DIN/PIN/NPN Detail |
|
| 24:00 CARDIOVASCULAR DRUGS | |
| 24:04:00 CARDIAC DRUGS | LU Criteria Text |
| Interchangeables: | NO |
| Manufacturer: | Pendopharm, Division of Pharmascience Inc. |
| Formulary Listing Date: | 2023-04-28 |
| Drug Benefit Price or Unit Price: | 1.1667 |
| Amount MOH Pays: | 1.1667 |
| Coverage Status: |
|