Product Details

Fungizone

Amphotericin B

Powder for Injection
50-mg Pack

DIN/PIN/NPN

00029149

Manufacturer

Cheplapharm Arzneimittel GmbH

Formulary Listing Date

1996-10-01  

Unit Price

104.0511

Amount MOH Pays

104.0511

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

J02AA01

Interchangeable Products

NO  

LU Clinical Criteria

NO  

Requirements


EAP Criteria

  NO

Product Monograph

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