DIN/PIN/NPN Detail

10:00 ANTINEOPLASTIC AGENTS

Lomustine (Temporary Benefit)(LOMUSTINE (CCNU))40mg Cap

DIN/PIN/NPN:09858382

Interchangeables:

NO

Manufacturer:

Septa Pharmaceuticals Inc.

Formulary Listing Date:

2025-11-28

Drug Benefit Price or Unit Price:

336.9200

Amount MOH Pays:

336.9200

Coverage Status:

Temporary Benefit