DIN/PIN/NPN Detail

92:00 UNCLASSIFIED THERAPEUTIC AGENTS

LU Criteria Text

Sandoz Montelukast (MONTELUKAST SODIUM)4mg Chew Tab

DIN/PIN/NPN:02330385

Interchangeables:

Manufacturer:

Sandoz Canada Inc.

Formulary Listing Date:

2012-01-19

Drug Benefit Price or Unit Price:

0.2758

Amount MOH Pays:

0.2758

Coverage Status:

Limited Use Product