DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS

Mint-Olopatadine (OLOPATADINE HCL)0.1% Oph Sol-5mL Pk

DIN/PIN/NPN:02422727

Interchangeables:

Manufacturer:

Mint Pharmaceuticals Inc.

Formulary Listing Date:

2014-11-27

Drug Benefit Price or Unit Price:

26.1300

Amount MOH Pays:

N/A

Coverage Status:

Off-Formulary Interchangeable