DIN/PIN/NPN Detail |
|
| 52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS | |
| 52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS | LU Criteria Text |
M-Latanoprost-Timolol (LATANOPROST & TIMOLOL MALEATE)50mcg/mL & 5mg/mL Oph Sol-2.5mL Pk
DIN/PIN/NPN:02514516
| Interchangeables: | YES |
| Manufacturer: | Mantra Pharma Inc. |
| Formulary Listing Date: | 2022-03-31 |
| Drug Benefit Price or Unit Price: | 11.0670 |
| Amount MOH Pays: | 11.0670 |
| Coverage Status: |
|