DIN/PIN/NPN Detail |
12:00 AUTONOMIC AGENTS | |
12:12:00 SYMPATHOMIMETIC (ADRENERGIC) AGENTS | LU Criteria Text |
Zenhale (MOMETASONE FUROATE & FORMOTEROL FUMARATE DIHYDRATE)200mcg & 5mcg Metered Dose Inh-120 Dose Pk
DIN/PIN/NPN:02361760
Interchangeables: | NO |
Manufacturer: | Organon Canada Inc. |
Formulary Listing Date: | 2012-02-29 |
Drug Benefit Price or Unit Price: | 138.9120 |
Amount MOH Pays: | 138.9120 |
Coverage Status: |
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