DIN/PIN/NPN Detail

92:00 UNCLASSIFIED THERAPEUTIC AGENTS

Revatio (SILDENAFIL)20mg Tab

DIN/PIN/NPN:02279401

Interchangeables:

Manufacturer:

Upjohn Canada ULC

Formulary Listing Date:

2010-09-09

Drug Benefit Price or Unit Price:

12.7431

Amount MOH Pays:

7.2940

Coverage Status:

Off-Formulary Interchangeable
Exceptional Access Program Product