DIN/PIN/NPN Detail

68:00 HORMONES AND SUBSTITUTES

68:24:00 PARATHYROID AGENTS

LU Criteria Text

Apo-Teriparatide Injection (TERIPARATIDE)250mcg/mL Inj Sol-2.4mL Pref Pen

DIN/PIN/NPN:02498804

Interchangeables:

Manufacturer:

Formulary Listing Date:

2025-01-31

Drug Benefit Price or Unit Price:

535.4700

Amount MOH Pays:

535.4700

Coverage Status:

Limited Use Product