Product Details

Trental

Pentoxifylline
400 mg
SR Tablet


DIN/PIN/NPN

02221977

Manufacturer

Sanofi Aventis Pharma

Formulary Listing Date

1999-01-07  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit Chronic-Use Medication

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

C04AD03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02221977 Trental NA NA
02230090 Pentoxifylline SR 0.7238 0.7238
02543087 Jamp Pentoxifylline SR 0.7238 0.7238
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph