DIN/PIN/NPN Detail

68:00 HORMONES AND SUBSTITUTES

68:16:00 ESTROGENS

Imvexxy (ESTRADIOL HEMIHYDRATE)10mcg Vag Insert

DIN/PIN/NPN:02503697

Interchangeables:

NO

Manufacturer:

Knight Therapeutics Inc.

Formulary Listing Date:

2023-11-30

Drug Benefit Price or Unit Price:

3.6288

Amount MOH Pays:

3.6288

Coverage Status:

General Benefit