Product Details

Theo ER

Theophylline Anhydrous
600 mg
SR Tablet


DIN/PIN/NPN

02360128

Manufacturer

A A Pharma Inc.

Formulary Listing Date

2014-01-03  

Unit Price

0.4524

Amount MOH Pays

0.4524

Coverage Status

General 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