Product Details

PMS-Lactulose-Pharma

Lactulose
667 mg/mL
Oral Liquid


DIN/PIN/NPN

02469391

Manufacturer

Pharmascience Inc.

Formulary Listing Date

2019-01-31  

Unit Price

0.0145

Amount MOH Pays

0.0145

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

A06AD11

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00854409 Ratio-Lactulose 0.0145 0.0145
02469391 PMS-Lactulose-Pharma 0.0145 0.0145
02295881 Jamp-Lactulose 0.0145 0.0145
02247383 Pharma-Lactulose 0.0145 0.0145
02091925 Cephulac NA NA
02242814 Apo-Lactulose Solution 0.0145 0.0145
02412268 Lactulose 0.0145 0.0145
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph