Product Details

PMS-Acetaminophen With Codeine

Acetaminophen + Codeine Phosphate
160 mg + 8 mg/5 mL
Oral Liquid


DIN/PIN/NPN

00816027

Manufacturer

Pharmascience Inc.

Formulary Listing Date

1998-12-31  

Unit Price

0.1074

Amount MOH Pays

0.1074

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

Analgesics, Opiate Agonists (28:08:08): Narcotic analgesics can produce dependence and may be abused. Physical dependence, psychological dependence and tolerance may develop. Prescribers are cautioned about ordering these drugs for patients with a history of either emotional disturbances or drug abuse, including alcohol.

ATC Code

N02AJ06

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02163942 Tylenol With Codeine Elixir NA NA
00816027 PMS-Acetaminophen With Codeine 0.1074 0.1074
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph