DIN/PIN/NPN Detail

92:00 UNCLASSIFIED THERAPEUTIC AGENTS

LU Criteria Text

Taro-Lenalidomide (LENALIDOMIDE)15mg Cap

DIN/PIN/NPN:02507897

Interchangeables:

Manufacturer:

Taro Pharmaceuticals Inc.

Formulary Listing Date:

2022-07-29

Drug Benefit Price or Unit Price:

95.5000

Amount MOH Pays:

95.5000

Coverage Status:

Limited Use Product