Product Details
Oxeze Turbuhaler
Formoterol Fumarate Dihydrate12 mcg/Metered-Dose
Powder for Inhalation
60-Dose Pack
DIN/PIN/NPN
02237224
Manufacturer
AstraZeneca
Formulary Listing Date
1999-04-15
Unit Price
49.7849
Amount MOH Pays
49.7849
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
R03AC13
Interchangeable Products
NOLU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| 132 | Indefinite | For the treatment of asthma in patients who are using optimum anti-inflammatory treatment and are still experiencing breakthrough symptoms. Note: This drug is not for relief of acute symptoms. |