DIN/PIN/NPN Detail

56:00 GASTROINTESTINAL DRUGS

56:08:00 ANTIDIARRHEA AGENTS

LU Criteria Text

Apo-Loperamide (LOPERAMIDE HCL)2mg Caplet

DIN/PIN/NPN:02212005

Interchangeables:

Manufacturer:

Formulary Listing Date:

1996-12-19

Drug Benefit Price or Unit Price:

0.0952

Amount MOH Pays:

0.0952

Coverage Status:

Limited Use Product