Product Details

Pedialyte Regular

Electrolyte + Dextrose

Oral Liquid

DIN/PIN/NPN

80072902

Manufacturer

Abbott Laboratories Limited

Formulary Listing Date

2018-08-30

Unit Price

0.0079

Amount MOH Pays

0.0079

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

40:12:00 Replacement Agents

Therapeutic Note

NO

ATC Code

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
80072902	Pedialyte Regular	0.0079	0.0079
80074173	Pedialyte Flavored	0.0079	0.0079

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph