Product Details

Diovol EX

Aluminum Hydroxide + Magnesium Hydroxide
120 mg + 60 mg/mL
Oral Liquid


DIN/PIN/NPN

00491217

Manufacturer

Frank W. Horner Inc.

Formulary Listing Date

1996-10-01  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit Designated Pharmaceutical Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

#

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02162369 Maalox TC NA NA
00491217 Diovol EX NA NA
 

LU Clinical Criteria

NO  

Requirements

NA

EAP Criteria

  NO

Product Monograph

View Monograph