Product Details

PMS-Dexamethasone

Dexamethasone
4 mg
Tablet


DIN/PIN/NPN

01964070

Manufacturer

Pharmascience Inc.

Formulary Listing Date

1998-12-31  

Unit Price

0.6112

Amount MOH Pays

0.6112

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

H02AB02

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
01964070 PMS-Dexamethasone 0.6112 0.6112
00354309 Decadron NA NA
02250055 Apo-Dexamethasone 0.6112 0.6112
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph