DIN/PIN/NPN Detail

10:00 ANTINEOPLASTIC AGENTS

Gleostine (Temporary Benefit)(LOMUSTINE (CCNU))10mg Cap

DIN/PIN/NPN:09858359

Interchangeables:

NO

Manufacturer:

Septa Pharmaceuticals Inc.

Formulary Listing Date:

2025-11-28

Drug Benefit Price or Unit Price:

211.2400

Amount MOH Pays:

211.2400

Coverage Status:

Temporary Benefit