Product Details
Zenhale
Mometasone Furoate + Formoterol Fumarate Dihydrate200 mcg + 5 mcg/Metered-Dose
Inhalation
120-Dose Pack
DIN/PIN/NPN
02361760
Manufacturer
Organon Canada Inc.
Formulary Listing Date
2012-02-29
Unit Price
138.9120
Amount MOH Pays
138.9120
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
R03AK09
Interchangeable Products
NOLU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| 330 | Indefinite | For the treatment of asthma in patients who are using optimum anti-inflammatory treatment and are still experiencing breakthrough symptoms. |