DIN/PIN/NPN Detail

56:00 GASTROINTESTINAL DRUGS

56:22:00 ANTIEMETICS AND ANTINAUSEANTS

LU Criteria Text

Apo-Ondansetron (ONDANSETRON HYDROCHLORIDE)8mg Tab

DIN/PIN/NPN:02288192

Interchangeables:

Manufacturer:

Formulary Listing Date:

2007-03-09

Drug Benefit Price or Unit Price:

5.1110

Amount MOH Pays:

3.8840

Coverage Status:

Limited Use Product