DIN/PIN/NPN Detail

56:00 GASTROINTESTINAL DRUGS

56:22:00 ANTIEMETICS AND ANTINAUSEANTS

LU Criteria Text

Jamp-Ondansetron (ONDANSETRON HYDROCHLORIDE)8mg Tab

DIN/PIN/NPN:02313693

Interchangeables:

Manufacturer:

Jamp Pharma Corporation

Formulary Listing Date:

2009-03-02

Drug Benefit Price or Unit Price:

5.1110

Amount MOH Pays:

3.8840

Coverage Status:

Limited Use Product