DIN/PIN/NPN Detail

68:00 HORMONES AND SUBSTITUTES

68:16:00 ESTROGENS

LU Criteria Text

Premarin (CONJUGATED ESTROGENS)0.625mg SR Tab

DIN/PIN/NPN:02414686

Interchangeables:

NO

Manufacturer:

Pfizer Canada Inc.

Formulary Listing Date:

2015-01-28

Drug Benefit Price or Unit Price:

0.4088

Amount MOH Pays:

0.4088

Coverage Status:

Limited Use Product