DIN/PIN/NPN Detail |
|
| 68:00 HORMONES AND SUBSTITUTES | |
| 68:04:00 CORTICOSTEROIDS | LU Criteria Text |
Enerzair Breezhaler (INDACATEROL ACETATE & GLYCOPYRRONIUM BROMIDE & MOMETASONE FUROATE)150mcg & 50mcg & 160mcg Inh Pd-Cap
DIN/PIN/NPN:02501244
| Interchangeables: | NO |
| Manufacturer: | Novartis Pharma Canada Inc. |
| Formulary Listing Date: | 2022-02-28 |
| Drug Benefit Price or Unit Price: | 3.4277 |
| Amount MOH Pays: | 3.4277 |
| Coverage Status: |
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