DIN/PIN/NPN Detail |
|
| 92:00 UNCLASSIFIED THERAPEUTIC AGENTS | |
| 92:20:00 BIOLOGIC RESPONSE MODIFIERS | LU Criteria Text |
| Interchangeables: | NO |
| Manufacturer: | Celltrion Healthcare Co. Ltd. |
| Formulary Listing Date: | 2024-09-27 |
| Drug Benefit Price or Unit Price: | 2755.8840 |
| Amount MOH Pays: | 2755.8840 |
| Coverage Status: |
|