Product Details

Proloprim

Trimethoprim
100 mg
Tablet


DIN/PIN/NPN

00675229

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
02243116 Trimethoprim 0.2617 0.2617
00675229 Proloprim NA NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph