DIN/PIN/NPN Detail

28:00 CENTRAL NERVOUS SYSTEM DRUGS

28:24:00 SEDATIVES AND HYPNOTICS

Phenobarb (PHENOBARBITAL)100mg Tab

DIN/PIN/NPN:00178829

Interchangeables:

NO

Manufacturer:

Pendopharm, Division of Pharmascience Inc.

Formulary Listing Date:

2018-01-31

Drug Benefit Price or Unit Price:

0.3329

Amount MOH Pays:

0.3329

Coverage Status:

General Benefit