DIN/PIN/NPN Detail
92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
Baqsimi
(GLUCAGON)
3mg Nas Pd Device
DIN/PIN/NPN:
02492415
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Interchangeables:
NO
Manufacturer:
Amphastar Pharmaceuticals Inc.
Formulary Listing Date:
2022-01-31
Drug Benefit Price or Unit Price:
160.5200
Amount MOH Pays:
160.5200
Coverage Status:
Limited Use Product
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