Product Details

Intelence

Etravirine
200 mg
Tablet


DIN/PIN/NPN

02375931

Manufacturer

Janssen Inc.

Formulary Listing Date

2012-05-29  

Unit Price

12.6195

Amount MOH Pays

12.6195

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

J05AG04

Interchangeable Products

NO  

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph