DIN/PIN/NPN Detail
92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
Stalevo
(LEVODOPA & CARBIDOPA & ENTACAPONE)
75 & 18.75 & 200mg Tab
DIN/PIN/NPN:
02337827
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Interchangeables:
NO
Manufacturer:
Sandoz Canada Inc.
Formulary Listing Date:
2010-10-28
Drug Benefit Price or Unit Price:
1.7471
Amount MOH Pays:
1.7471
Coverage Status:
Limited Use Product
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