DIN/PIN/NPN Detail

92:00 UNCLASSIFIED THERAPEUTIC AGENTS

LU Criteria Text

Teva-Montelukast (MONTELUKAST SODIUM)4mg Chew Tab

DIN/PIN/NPN:02355507

Interchangeables:

Manufacturer:

Teva Canada Limited

Formulary Listing Date:

2012-01-19

Drug Benefit Price or Unit Price:

0.2758

Amount MOH Pays:

0.2758

Coverage Status:

Limited Use Product