DIN/PIN/NPN Detail

24:00 CARDIOVASCULAR DRUGS

24:12:00 VASODILATING DRUGS

Jamp-Vardenafil ODT (VARDENAFIL HCL)10mg Orally Disintergrating Tab

DIN/PIN/NPN:02476088

Interchangeables:

Manufacturer:

Jamp Pharma Corporation

Formulary Listing Date:

2019-09-30

Drug Benefit Price or Unit Price:

5.8778

Amount MOH Pays:

N/A

Coverage Status:

Off-Formulary Interchangeable