DIN/PIN/NPN Detail |
|
| 92:00 UNCLASSIFIED THERAPEUTIC AGENTS | |
| LU Criteria Text |
Xeomin (INCOBOTULINUMTOXINA)200 Units/Vial Pd for Inj-Vial Pk (Preservative-Free)
DIN/PIN/NPN:02556227
| Interchangeables: | NO |
| Manufacturer: | Merz Pharmaceutical Gmbh |
| Formulary Listing Date: | 2026-02-27 |
| Drug Benefit Price or Unit Price: | 677.8200 |
| Amount MOH Pays: | 677.8200 |
| Coverage Status: |
|