Product Details

Vitamin A Acid

Tretinoin
0.05%
Cream


DIN/PIN/NPN

01926519

Manufacturer

Sanofi Aventis Pharma

Formulary Listing Date

1996-10-01  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

D10AD01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
01926519 Vitamin A Acid NA NA
00518182 Stieva-A 0.2144 0.2144
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph