DIN/PIN/NPN Detail

28:00 CENTRAL NERVOUS SYSTEM DRUGS

28:92:00 MISCELLANEOUS CENTRAL NERVOUS SYSTEM DRUGS

Mar-Dimethyl Fumarate (DIMETHYL FUMARATE)120mg DR Cap

DIN/PIN/NPN:02502690

Interchangeables:

Manufacturer:

Marcan Pharmaceuticals Inc.

Formulary Listing Date:

2021-11-30

Drug Benefit Price or Unit Price:

9.1933

Amount MOH Pays:

9.1933

Coverage Status:

Off-Formulary Interchangeable
Exceptional Access Program Product