DIN/PIN/NPN Detail |
|
| 20:00 BLOOD FORMATION AND COAGULATION | |
| 20:24:00 HEMORRHEOLOGIC AGENTS | LU Criteria Text |
| Interchangeables: | YES |
| Manufacturer: | Jamp Pharma Corporation |
| Formulary Listing Date: | 2024-11-29 |
| Drug Benefit Price or Unit Price: | 0.7238 |
| Amount MOH Pays: | 0.7238 |
| Coverage Status: |
|