DIN/PIN/NPN Detail

08:00 ANTI-INFECTIVE AGENTS

08:12:04 ANTIBIOTICS ANTIFUNGALS

LU Criteria Text

Jamp Voriconazole (VORICONAZOLE)200mg Tab

DIN/PIN/NPN:02525798

Interchangeables:

Manufacturer:

Jamp Pharma Corporation

Formulary Listing Date:

2022-11-30

Drug Benefit Price or Unit Price:

13.2403

Amount MOH Pays:

13.2403

Coverage Status:

Limited Use Product