DIN/PIN/NPN Detail

08:00 ANTI-INFECTIVE AGENTS

08:12:28 ANTIBIOTICS OTHER ANTIBIOTICS

LU Criteria Text

Zaxine (RIFAXIMIN)550mg Tab

DIN/PIN/NPN:02410702

Interchangeables:

NO

Manufacturer:

Salix Pharmaceuticals Inc.

Formulary Listing Date:

2016-06-29

Drug Benefit Price or Unit Price:

8.3030

Amount MOH Pays:

8.3030

Coverage Status:

Limited Use Product