DIN/PIN/NPN Detail |
|
| 12:00 AUTONOMIC AGENTS | |
| 12:12:00 SYMPATHOMIMETIC (ADRENERGIC) AGENTS | LU Criteria Text |
Advair Diskus (SALMETEROL XINAFOATE & FLUTICASONE PROPIONATE)50/250mcg Inh-60 Dose Pk
DIN/PIN/NPN:02240836
| Interchangeables: | YES |
| Manufacturer: | GlaxoSmithKline Inc., GlaxoSmithKline Consumer Health Care |
| Formulary Listing Date: | 2000-07-17 |
| Drug Benefit Price or Unit Price: | 128.4200 |
| Amount MOH Pays: | 50.7600 |
| Coverage Status: |
|