Product Details

Nitrolingual Pumpspray

Nitroglycerin
0.4 mg/Metered-Dose
Sublingual Pumpspray
180-Dose Pack

DIN/PIN/NPN

09858317

Manufacturer

Juno Pharmaceuticals Corp.

Formulary Listing Date

2023-11-30  

Unit Price

8.4200

Amount MOH Pays

8.4200

Coverage Status

Temporary Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

C01DA02

Interchangeable Products

NO  

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph