DIN/PIN/NPN Detail

24:00 CARDIOVASCULAR DRUGS

24:12:00 VASODILATING DRUGS

Nitrolingual Pump Spray (NITROGLYCERIN)0.4mg/Metered Dose Spray-200 Dose Pk

DIN/PIN/NPN:02231441

Interchangeables:

Manufacturer:

Sanofi Aventis Pharma

Formulary Listing Date:

1999-04-15

Drug Benefit Price or Unit Price:

16.0000

Amount MOH Pays:

8.4200

Coverage Status:

General Benefit