Product Details

PMS-Nitrofurantoin

Nitrofurantoin Mono/Micro Crystals
100 mg
Capsule


DIN/PIN/NPN

02455676

Manufacturer

Pharmascience Inc.

Formulary Listing Date

2018-07-31  

Unit Price

0.3983

Amount MOH Pays

0.3983

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

J01XE01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02455676 PMS-Nitrofurantoin 0.3983 0.3983
02063662 MacroBID NA NA
02466392 Auro-Nitrofurantoin BID 0.3983 0.3983
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph