DIN/PIN/NPN Detail

92:00 UNCLASSIFIED THERAPEUTIC AGENTS

LU Criteria Text

Oralair (GRASS POLLEN ALLERGEN EXTRACT)100IR SL Tab

DIN/PIN/NPN:02381885

Interchangeables:

NO

Manufacturer:

Stallergenes Canada Inc.

Formulary Listing Date:

2014-03-27

Drug Benefit Price or Unit Price:

1.3892

Amount MOH Pays:

1.3892

Coverage Status:

Limited Use Product