DIN/PIN/NPN Detail |
|
| 12:00 AUTONOMIC AGENTS | |
| 12:12:00 SYMPATHOMIMETIC (ADRENERGIC) AGENTS | LU Criteria Text |
Breo Ellipta (FLUTICASONE FUROATE & VILANTEROL)100mcg & 25mcg Blister Pd Inh-30 Dose Pk
DIN/PIN/NPN:02408872
| Interchangeables: | NO |
| Manufacturer: | GlaxoSmithKline Inc., GlaxoSmithKline Consumer Health Care |
| Formulary Listing Date: | 2015-03-31 |
| Drug Benefit Price or Unit Price: | 104.4400 |
| Amount MOH Pays: | 104.4400 |
| Coverage Status: |
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