DIN/PIN/NPN Detail

28:00 CENTRAL NERVOUS SYSTEM DRUGS

28:92:00 MISCELLANEOUS CENTRAL NERVOUS SYSTEM DRUGS

Teva-Frovatriptan (FROVATRIPTAN SUCCINATE)2.5mg Tab

DIN/PIN/NPN:02415844

Interchangeables:

Manufacturer:

Endo Pharmaceuticals Inc.

Formulary Listing Date:

2016-03-30

Drug Benefit Price or Unit Price:

12.5033

Amount MOH Pays:

N/A

Coverage Status:

Off-Formulary Interchangeable