DIN/PIN/NPN Detail

92:00 UNCLASSIFIED THERAPEUTIC AGENTS

LU Criteria Text

Jamp Silodosin (SILODOSIN)4mg Cap

DIN/PIN/NPN:02539519

Interchangeables:

Manufacturer:

Jamp Pharma Corporation

Formulary Listing Date:

2024-06-28

Drug Benefit Price or Unit Price:

0.4742

Amount MOH Pays:

0.4742

Coverage Status:

Chronic-Use Medication
Limited Use Product