02419580 | POMALIDOMIDE | Pomalyst (Off-Formulary Interchangeable) 1mg Cap | CEL | 500.0000 | 425.0000 | YES | NO | NO |
02419610 | POMALIDOMIDE | Pomalyst (Off-Formulary Interchangeable) 4mg Cap | CEL | 500.0000 | 425.0000 | YES | NO | NO |
02419602 | POMALIDOMIDE | Pomalyst (Off-Formulary Interchangeable) 3mg Cap | CEL | 500.0000 | 425.0000 | YES | NO | NO |
02419599 | POMALIDOMIDE | Pomalyst (Off-Formulary Interchangeable) 2mg Cap | CEL | 500.0000 | 425.0000 | YES | NO | NO |