DIN/PIN/NPN Detail
92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
Wezlana I.V.
(USTEKINUMAB)
130mg/26mL Inj Sol-26mL Vial Pk
DIN/PIN/NPN:
02544210
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Interchangeables:
NO
Manufacturer:
Amgen Canada Inc.
Formulary Listing Date:
2024-04-30
Drug Benefit Price or Unit Price:
1248.0000
Amount MOH Pays:
1248.0000
Coverage Status:
Limited Use Product
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