DIN/PIN/NPN Detail

52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS

52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS

Jamp Ketotifen Ophthalmic (KETOTIFEN)0.25mg/mL Oph Sol-5mL Pk

DIN/PIN/NPN:02542722

Interchangeables:

Manufacturer:

Jamp Pharma Corporation

Formulary Listing Date:

2024-06-28

Drug Benefit Price or Unit Price:

22.1600

Amount MOH Pays:

N/A

Coverage Status:

Off-Formulary Interchangeable