Product Details
PMS-Chlorhexidine Without Alcohol
Chlorhexidine Gluconate0.12%
Oral Rinse
DIN/PIN/NPN
02493160
Manufacturer
Pharmascience Inc.
Formulary Listing Date
2024-03-28
Unit Price
0.0253
Amount MOH Pays
NA
Coverage Status
Off-Formulary Interchangeable
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
A01AB03
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02237452 | Peridex | NA | NA |
| 02240433 | PMS-Chlorhexidine | 0.0253 | NA |
| 02493160 | PMS-Chlorhexidine Without Alcohol | 0.0253 | NA |