Product Details
PMS-Fluticasone HFA
Fluticasone Propionate125 mcg/Metered-Dose
Inhalation Aerosol
120-Dose Pack
DIN/PIN/NPN
02503123
Manufacturer
Pharmascience Inc.
Formulary Listing Date
2022-06-30
Unit Price
23.4100
Amount MOH Pays
23.4100
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
R03BA05
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02244292 | Flovent HFA | 55.0200 | 23.4100 |
| 02526557 | Apo-Fluticasone HFA | 23.4100 | 23.4100 |
| 02503123 | PMS-Fluticasone HFA | 23.4100 | 23.4100 |