Product Details

Diamox

Acetazolamide
250 mg
Tablet


DIN/PIN/NPN

02238072

Manufacturer

Wyeth Pharmaceuticals

Formulary Listing Date

2000-11-30  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

S01EC01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02238072 Diamox NA NA
00545015 Acetazolamide 0.1414 0.1414
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph