Search Results
You can sort your results in ascending / descending order by clicking on the column headings, with the exception of Therapeutic Notes.
Products found: 2
New Search
DIN/ PIN/ NPN
Generic Name
Brand Name, Strength & Dosage Form
MFR
Drug Benefit Price or Unit Price
Amount MOH Pays
Inter- change- able
Limited Use
Thera- peutic Notes
02361760
MOMETASONE FUROATE & FORMOTEROL FUMARATE DIHYDRATE
Zenhale 200mcg & 5mcg Metered Dose Inh-120 Dose Pk
OCI
149.3300
149.3300
NO
YES
NO
02361752
MOMETASONE FUROATE & FORMOTEROL FUMARATE DIHYDRATE
Zenhale 100mcg & 5mcg Metered Dose Inh-120 Dose Pk
OCI
123.2300
123.2300
NO
YES
NO
Back to Top
New Search