DIN/PIN/NPN Detail |
|
| 12:00 AUTONOMIC AGENTS | |
| 12:12:00 SYMPATHOMIMETIC (ADRENERGIC) AGENTS | LU Criteria Text |
| Interchangeables: | NO |
| Manufacturer: | GlaxoSmithKline Inc., GlaxoSmithKline Consumer Health Care |
| Formulary Listing Date: | 1998-12-31 |
| Drug Benefit Price or Unit Price: | 75.2000 |
| Amount MOH Pays: | 75.2000 |
| Coverage Status: |
|