DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS

Vabysmo (FARICIMAB)6mg/0.05mL Inj Sol-0.24mL Vial Pk (Preservative-Free)

DIN/PIN/NPN:02527618

Interchangeables:

Manufacturer:

Formulary Listing Date:

2023-06-30

Drug Benefit Price or Unit Price:

1350.0000

Amount MOH Pays:

1350.0000

Coverage Status: