DIN/PIN/NPN Detail

92:00 UNCLASSIFIED THERAPEUTIC AGENTS

LU Criteria Text

Ticlopidine (TICLOPIDINE HCL)250mg Tab

DIN/PIN/NPN:02237701

Interchangeables:

Manufacturer:

A A Pharma Inc.

Formulary Listing Date:

1999-04-15

Drug Benefit Price or Unit Price:

1.0679

Amount MOH Pays:

1.0679

Coverage Status:

Limited Use Product