DIN/PIN/NPN Detail |
12:00 AUTONOMIC AGENTS | |
12:12:00 SYMPATHOMIMETIC (ADRENERGIC) AGENTS | LU Criteria Text |
Advair Diskus (SALMETEROL XINAFOATE & FLUTICASONE PROPIONATE)50/100mcg Inh-60 Dose Pk
DIN/PIN/NPN:02240835
Interchangeables: | YES |
Manufacturer: | GlaxoSmithKline Inc., GlaxoSmithKline Consumer Health Care |
Formulary Listing Date: | 2001-10-11 |
Drug Benefit Price or Unit Price: | 107.2700 |
Amount MOH Pays: | 42.4050 |
Coverage Status: |
|