DIN/PIN/NPN Detail
92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
Detrol LA
(TOLTERODINE L-TARTRATE)
4mg SR Cap
DIN/PIN/NPN:
02244613
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Interchangeables:
YES
Manufacturer:
Upjohn Canada ULC
Formulary Listing Date:
2004-04-06
Drug Benefit Price or Unit Price:
2.2306
Amount MOH Pays:
0.9822
Coverage Status:
Limited Use Product
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