Product Details

Tantum

Benzydamine HCl
0.15%
Oral Rinse


DIN/PIN/NPN

01966065

Manufacturer

Graceway Pharmaceuticals

Formulary Listing Date

1996-10-01  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

A01AD02

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
01966065 Tantum NA NA
02239537 PMS-Benzydamine 0.0960 NA
02229777 Pharixia NA NA
02463105 Odan-Benzydamine 0.0960 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph