DIN/PIN/NPN Detail

56:00 GASTROINTESTINAL DRUGS

56:22:00 ANTIEMETICS AND ANTINAUSEANTS

LU Criteria Text

Apo-Ondansetron (ONDANSETRON HYDROCHLORIDE)4mg/5mL O/L

DIN/PIN/NPN:02291967

Interchangeables:

Manufacturer:

Formulary Listing Date:

2009-05-20

Drug Benefit Price or Unit Price:

1.1360

Amount MOH Pays:

1.1360

Coverage Status:

Limited Use Product