DIN/PIN/NPN Detail
92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
NRA-Varenicline
(VARENICLINE TARTRATE)
0.5mg Tab
DIN/PIN/NPN:
02542951
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Interchangeables:
YES
Manufacturer:
Nora Pharma
Formulary Listing Date:
2024-08-30
Drug Benefit Price or Unit Price:
0.4618
Amount MOH Pays:
0.4618
Coverage Status:
Limited Use Product
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