DIN/PIN/NPN Detail |
92:00 UNCLASSIFIED THERAPEUTIC AGENTS | |
92:36:00 DISEASE-MODIFYING ANTIRHEUMATIC AGENTS | LU Criteria Text |
Simlandi (ADALIMUMAB)40mg/0.4mL Inj Sol-0.4mL Pref Autoinj Syr (Preservative-Free)
DIN/PIN/NPN:02523957
Interchangeables: | NO |
Manufacturer: | Jamp Pharma Corporation |
Formulary Listing Date: | 2022-05-31 |
Drug Benefit Price or Unit Price: | 471.2700 |
Amount MOH Pays: | 471.2700 |
Coverage Status: |
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