Product Details

Uniphyl

Theophylline Anhydrous
600 mg
SR Tablet


DIN/PIN/NPN

02014181

Manufacturer

Elvium Life Sciences

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

R03DA04

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02014181 Uniphyl NA NA
02360128 Theo ER 0.4524 0.4524
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph