DIN/PIN/NPN Detail

56:00 GASTROINTESTINAL DRUGS

56:22:00 ANTIEMETICS AND ANTINAUSEANTS

LU Criteria Text

VPI-Ondansetron ODT (Tablet) (ONDANSETRON HYDROCHLORIDE)8mg

DIN/PIN/NPN:02444682

Interchangeables:

Manufacturer:

VPI Pharmaceuticals Inc.

Formulary Listing Date:

2016-01-28

Drug Benefit Price or Unit Price:

4.9930

Amount MOH Pays:

3.8840

Coverage Status:

Limited Use Product