DIN/PIN/NPN Detail

56:00 GASTROINTESTINAL DRUGS

56:22:00 ANTIEMETICS AND ANTINAUSEANTS

LU Criteria Text

Jamp Ondansetron (ONDANSETRON HYDROCHLORIDE)4mg/5mL O/L

DIN/PIN/NPN:02490617

Interchangeables:

Manufacturer:

Jamp Pharma Corporation

Formulary Listing Date:

2020-06-30

Drug Benefit Price or Unit Price:

1.1360

Amount MOH Pays:

1.1360

Coverage Status:

Limited Use Product