DIN/PIN/NPN Detail
92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
Jamteki
(USTEKINUMAB)
90mg/mL Inj Sol-1mL Pref Syr Pk
DIN/PIN/NPN:
02543044
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Interchangeables:
NO
Manufacturer:
Jamp Pharma Corporation
Formulary Listing Date:
2024-04-30
Drug Benefit Price or Unit Price:
2755.8840
Amount MOH Pays:
2755.8840
Coverage Status:
Limited Use Product
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