DIN/PIN/NPN Detail

08:00 ANTI-INFECTIVE AGENTS

08:12:04 ANTIBIOTICS ANTIFUNGALS

LU Criteria Text

Sporanox (ITRACONAZOLE)10mg/mL Oral Sol

DIN/PIN/NPN:02231347

Interchangeables:

Manufacturer:

Formulary Listing Date:

1998-12-31

Drug Benefit Price or Unit Price:

1.1164

Amount MOH Pays:

0.4111

Coverage Status:

Discontinued Drug
Limited Use Product