DIN/PIN/NPN Detail

56:00 GASTROINTESTINAL DRUGS

56:08:00 ANTIDIARRHEA AGENTS

LU Criteria Text

PMS-Loperamide (LOPERAMIDE HCL)2mg Caplet

DIN/PIN/NPN:02228351

Interchangeables:

Manufacturer:

Pharmascience Inc.

Formulary Listing Date:

1998-12-31

Drug Benefit Price or Unit Price:

0.0952

Amount MOH Pays:

0.0952

Coverage Status:

Limited Use Product