DIN/PIN/NPN Detail

24:00 CARDIOVASCULAR DRUGS

24:12:00 VASODILATING DRUGS

Trinipatch (NITROGLYCERIN)0.6mg/Hr/21 Sq Cm Patch

DIN/PIN/NPN:02230734

Interchangeables:

NO

Manufacturer:

Paladin Pharma Inc.

Formulary Listing Date:

1999-04-15

Drug Benefit Price or Unit Price:

0.8773

Amount MOH Pays:

0.8773

Coverage Status:

General Benefit