Product Details

Hp-PAC

Lansoprazole + Clarithromycin + Amoxicillin
30 mg + 500 mg + 500 mg
Tablet/Capsule Pack


DIN/PIN/NPN

02238525

Manufacturer

Takeda Pharmaceuticals America Inc.

Formulary Listing Date

1999-04-15  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

A02BD07

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02238525 Hp-PAC NA NA
02470780 AA-Lansoprazole-Amoxicillin-Clarithromycin 67.9100 67.9100
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph