DIN/PIN/NPN Detail

92:00 UNCLASSIFIED THERAPEUTIC AGENTS

Mint-Montelukast (MONTELUKAST SODIUM)5mg Chew Tab

DIN/PIN/NPN:02408635

Interchangeables:

Manufacturer:

Mint Pharmaceuticals Inc.

Formulary Listing Date:

2014-01-03

Drug Benefit Price or Unit Price:

1.2075

Amount MOH Pays:

1.2075

Coverage Status:

Off-Formulary Interchangeable
Exceptional Access Program Product