DIN/PIN/NPN Detail
92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
Mint-Tolterodine
(TOLTERODINE L-TARTRATE)
1mg Tab
DIN/PIN/NPN:
02423308
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Interchangeables:
YES
Manufacturer:
Mint Pharmaceuticals Inc.
Formulary Listing Date:
2016-02-25
Drug Benefit Price or Unit Price:
0.2455
Amount MOH Pays:
0.2455
Coverage Status:
Limited Use Product
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