Product Details
Trental
Pentoxifylline400 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 | Apo-Pentoxifylline SR | 0.7238 | 0.7238 |
| 02543087 | Jamp Pentoxifylline SR | 0.7238 | 0.7238 |
LU Clinical Criteria
NORequirements
NA