DIN/PIN/NPN Detail |
|
| 12:00 AUTONOMIC AGENTS | |
| 12:08:08 PARASYMPATHOLYTIC (CHOLINERGIC BLOCKING) AGENTS ANTIMUSCARINICS/ANTISPASMODICS | LU Criteria Text |
| Interchangeables: | YES |
| Manufacturer: | Sterimax Inc. |
| Formulary Listing Date: | 2022-08-31 |
| Drug Benefit Price or Unit Price: | 2.7825 |
| Amount MOH Pays: | 2.7825 |
| Coverage Status: |
|