Product Details

Acetazolamide

Acetazolamide
250 mg
Tablet


DIN/PIN/NPN

00545015

Manufacturer

A A Pharma Inc.

Formulary Listing Date

1996-10-01  

Unit Price

0.1414

Amount MOH Pays

0.1414

Coverage Status

General 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