Product Details

Atropine

Atropine Sulfate
1%
Ophthalmic Solution


DIN/PIN/NPN

02023695

Manufacturer

Pharma Stulln Inc.

Formulary Listing Date

2020-07-31  

Unit Price

0.5490

Amount MOH Pays

0.5490

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

S01FA01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00035017 Isopto Atropine 0.8420 0.5490
02023695 Atropine 0.5490 0.5490
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph