DIN/PIN/NPN Detail

92:00 UNCLASSIFIED THERAPEUTIC AGENTS

LU Criteria Text

Singulair (MONTELUKAST SODIUM)4mg Chew Tab

DIN/PIN/NPN:02243602

Interchangeables:

Manufacturer:

Organon Canada Inc.

Formulary Listing Date:

2004-04-06

Drug Benefit Price or Unit Price:

1.6783

Amount MOH Pays:

0.2758

Coverage Status:

Limited Use Product