DIN/PIN/NPN Detail

86:00 SPASMOLYTICS

Theo ER (THEOPHYLLINE ANHYDROUS)400mg SR Tab

DIN/PIN/NPN:02360101

Interchangeables:

Manufacturer:

A A Pharma Inc.

Formulary Listing Date:

2014-01-03

Drug Benefit Price or Unit Price:

0.3735

Amount MOH Pays:

0.3734

Coverage Status:

General Benefit