DIN/PIN/NPN Detail

08:00 ANTI-INFECTIVE AGENTS

08:18:00 ANTIVIRALS

LU Criteria Text

Mint-Tenofovir (TENOFOVIR DISOPROXIL)300mg Tab

DIN/PIN/NPN:02512939

Interchangeables:

Manufacturer:

Mint Pharmaceuticals Inc.

Formulary Listing Date:

2021-11-30

Drug Benefit Price or Unit Price:

4.8884

Amount MOH Pays:

4.8884

Coverage Status:

Limited Use Product