DIN/PIN/NPN Detail

64:00 HEAVY METAL ANTAGONISTS

PMS-Deferasirox (Type J) (DEFERASIROX)180mg Tab

DIN/PIN/NPN:02528304

Interchangeables:

Manufacturer:

Pharmascience Inc.

Formulary Listing Date:

2022-11-30

Drug Benefit Price or Unit Price:

5.2610

Amount MOH Pays:

5.2610

Coverage Status:

General Benefit