DIN/PIN/NPN Detail |
|
| 92:00 UNCLASSIFIED THERAPEUTIC AGENTS | |
| 92:36:00 DISEASE-MODIFYING ANTIRHEUMATIC AGENTS |
| Interchangeables: | YES |
| Manufacturer: | Jamp Pharma Corporation |
| Formulary Listing Date: | 2023-03-31 |
| Drug Benefit Price or Unit Price: | 505.5426 |
| Amount MOH Pays: | N/A |
| Coverage Status: |
|