DIN/PIN/NPN Detail

28:00 CENTRAL NERVOUS SYSTEM DRUGS

Therapeutic Note(s)

28:20:00 C.N.S. STIMULANTS

Apo-Lisdexamfetamine Capsules (LISDEXAMFETAMINE DIMESYLATE)70mg Cap

DIN/PIN/NPN:02546728

Interchangeables:

Manufacturer:

Formulary Listing Date:

2024-08-30

Drug Benefit Price or Unit Price:

4.6968

Amount MOH Pays:

N/A

Coverage Status:

Off-Formulary Interchangeable