DIN/PIN/NPN Detail

20:00 BLOOD FORMATION AND COAGULATION

20:16:00 HEMATOPOIETIC AGENTS

Ziextenzo (PEGFILGRASTIM)6mg/0.6mL Inj Sol-0.6mL Pref Syr (Preservative-Free)

DIN/PIN/NPN:02497395

Interchangeables:

Manufacturer:

Formulary Listing Date:

2020-08-28

Drug Benefit Price or Unit Price:

1375.0000

Amount MOH Pays:

1375.0000

Coverage Status: