DIN/PIN/NPN Detail

92:00 UNCLASSIFIED THERAPEUTIC AGENTS

LU Criteria Text

Jamp Tolterodine (TOLTERODINE L-TARTRATE)1mg Tab

DIN/PIN/NPN:02496836

Interchangeables:

Manufacturer:

Jamp Pharma Corporation

Formulary Listing Date:

2022-09-29

Drug Benefit Price or Unit Price:

0.2455

Amount MOH Pays:

0.2455

Coverage Status:

Limited Use Product