Product Details

Proloprim

Trimethoprim
200 mg
Tablet


DIN/PIN/NPN

00677590

Manufacturer

Burroughs Wellcome Inc.

Formulary Listing Date

1996-10-01  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

J01EA01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02243117 Trimethoprim 0.5378 0.5378
00677590 Proloprim NA NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph