DIN/PIN/NPN Detail |
|
| 68:00 HORMONES AND SUBSTITUTES | |
| 68:08:00 ANDROGENS | LU Criteria Text |
Testosterone Enanthate Injection, USP (TESTOSTERONE ENANTHATE)1000mg/5mL Oily Inj Sol-5mL Pk
DIN/PIN/NPN:02536315
| Interchangeables: | YES |
| Manufacturer: | Hikma Canada Limited |
| Formulary Listing Date: | 2024-10-31 |
| Drug Benefit Price or Unit Price: | 35.5943 |
| Amount MOH Pays: | 35.5943 |
| Coverage Status: |
|