Product Details

Ratio-Mometasone

Mometasone Furoate
0.1%
Ointment


DIN/PIN/NPN

02248130

Manufacturer

Ratiopharm Inc.

Formulary Listing Date

2004-07-20  

Unit Price

0.2252

Amount MOH Pays

0.2252

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

D07AC13

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02248130 Ratio-Mometasone 0.2252 0.2252
00851736 Elocom 0.7342 0.2252
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph