DIN/PIN/NPN Detail

56:00 GASTROINTESTINAL DRUGS

56:40:00 MISCELLANEOUS G.I. DRUGS

Jamp Pantoprazole Sodium (PANTOPRAZOLE SODIUM)20mg Ent Tab

DIN/PIN/NPN:02392615

Interchangeables:

Manufacturer:

Jamp Pharma Corporation

Formulary Listing Date:

2021-11-30

Drug Benefit Price or Unit Price:

1.2750

Amount MOH Pays:

N/A

Coverage Status:

Off-Formulary Interchangeable