Product Details

Jamp Tolterodine

Tolterodine L-Tartrate
2 mg
Tablet


DIN/PIN/NPN

02496844

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2022-09-29  

Unit Price

0.2455

Amount MOH Pays

0.2455

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

G04BD07

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02496844 Jamp Tolterodine 0.2455 0.2455
02299607 Teva-Tolterodine 0.2455 0.2455
02423316 Mint-Tolterodine 0.2455 0.2455
02239065 Detrol 1.1151 0.2455
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph