DIN/PIN/NPN Detail

08:00 ANTI-INFECTIVE AGENTS

08:12:28 ANTIBIOTICS OTHER ANTIBIOTICS

LU Criteria Text

TOBI Podhaler (TOBRAMYCIN)28mg Inh Pd-Cap

DIN/PIN/NPN:02365154

Interchangeables:

NO

Manufacturer:

Formulary Listing Date:

2016-06-29

Drug Benefit Price or Unit Price:

14.6911

Amount MOH Pays:

14.6911

Coverage Status:

Limited Use Product