DIN/PIN/NPN Detail |
|
DIN/PIN/NPN Detail |
|
| 92:00 UNCLASSIFIED THERAPEUTIC AGENTS | Therapeutic Note(s) |
| LU Criteria Text |
| Interchangeables: | YES |
| Manufacturer: | Teva Canada Limited |
| Formulary Listing Date: | 2019-08-30 |
| Drug Benefit Price or Unit Price: | 24.3853 |
| Amount MOH Pays: | 24.3853 |
| Coverage Status: |
|