Product Details
Jamp-Nystatin Oral Suspension USP
Nystatin100000 U/mL
Oral Liquid
DIN/PIN/NPN
02433443
Manufacturer
Jamp Pharma Corporation
Formulary Listing Date
2021-11-30
Unit Price
0.0518
Amount MOH Pays
0.0518
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02194201 | Ratio-Nystatin | 0.0518 | 0.0518 |
| 00248169 | Mycostatin | NA | NA |
| 02433443 | Jamp-Nystatin Oral Suspension USP | 0.0518 | 0.0518 |