DIN/PIN/NPN Detail
92:00 UNCLASSIFIED THERAPEUTIC AGENTS
LU Criteria Text
Champix
(VARENICLINE TARTRATE)
0.5mg & 1.0mg Tab (Starter Pack-53 Tabs)
DIN/PIN/NPN:
09857519
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Interchangeables:
YES
Manufacturer:
Pfizer Canada Inc.
Formulary Listing Date:
2015-01-28
Drug Benefit Price or Unit Price:
97.5469
Amount MOH Pays:
48.7759
Coverage Status:
Limited Use Product
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