PROTHROMBIN COMPLEX-LANS 1000UNIT/VIL INJ,LYPHL (32963) VA PRODUCT (50.68)
Name
Value
NAME
PROTHROMBIN COMPLEX-LANS 1000UNIT/VIL INJ,LYPHL
ACTIVE INGREDIENTS
COPAY TIER
PGX ELIGIBLE
NO
PGX SUPPRESSED
NO
EFFECTIVE DATE/TIME