DIN/PIN/NPN Detail |
92:00 UNCLASSIFIED THERAPEUTIC AGENTS | |
LU Criteria Text |
Interchangeables: | YES |
Manufacturer: | Jamp Pharma Corporation |
Formulary Listing Date: | 2022-03-31 |
Drug Benefit Price or Unit Price: | 95.5000 |
Amount MOH Pays: | 95.5000 |
Coverage Status: |
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