DIN/PIN/NPN Detail

40:00 ELECTROLYTIC, CALORIC AND WATER BALANCE

40:28:00 DIURETICS

LU Criteria Text

Furosemide Injection USP (FUROSEMIDE)10mg/mL Inj Sol (Preservative Free)

DIN/PIN/NPN:00527033

Interchangeables:

Manufacturer:

Sandoz Canada Inc.

Formulary Listing Date:

2017-02-28

Drug Benefit Price or Unit Price:

0.8650

Amount MOH Pays:

0.6055

Coverage Status:

Limited Use Product