DIN/PIN/NPN Detail |
|
DIN/PIN/NPN Detail |
|
| 68:00 HORMONES AND SUBSTITUTES | |
| 68:24:00 PARATHYROID AGENTS | LU Criteria Text |
| Interchangeables: | NO |
| Manufacturer: | Avir Pharma Inc. |
| Formulary Listing Date: | 2022-09-29 |
| Drug Benefit Price or Unit Price: | 565.2600 |
| Amount MOH Pays: | 565.2600 |
| Coverage Status: |
|