Drugs: Contract Drugs List Part 1 – Prescription Drugs (S ...
† Effective September 1, 2020 TOP ‡ TOPOTECAN HCL. Capsules 0.25 mg ea. 1 mg ea. Powder for injection 4 mg/vial ea * TOREMIFENE CITRATE * Restricted to use in the treatment of cancer and to claims submitted with dates of service from May 29, 1997, through February 28, 2010, only. ................
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