DIN/PIN/NPN Detail |
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52:00 EYE, EAR, NOSE AND THROAT PREPARATIONS | Therapeutic Note(s) |
52:36:00 OTHER EYE, EAR, NOSE AND THROAT AGENTS | LU Criteria Text |
Apo-Travoprost-Timop PQ (TIMOLOL MALEATE & TRAVOPROST)0.5% & 0.004% Oph Sol-5mL Pk
DIN/PIN/NPN:09857644
Interchangeables: | YES |
Manufacturer: | Apotex Inc. |
Formulary Listing Date: | 2020-06-30 |
Drug Benefit Price or Unit Price: | 44.2125 |
Amount MOH Pays: | 44.2125 |
Coverage Status: |
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