DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS

Act Olopatadine 0.2% (OLOPATADINE HCL)0.2% Oph Sol-2.5mL Pk

DIN/PIN/NPN:02404095

Interchangeables:

Manufacturer:

Actavis Pharma Company

Formulary Listing Date:

2014-05-29

Drug Benefit Price or Unit Price:

26.1300

Amount MOH Pays:

N/A

Coverage Status:

Off-Formulary Interchangeable