Product Details

Flovent HFA

Fluticasone Propionate
50 mcg/Metered-Dose
Inhalation Aerosol
120-Dose Pack

DIN/PIN/NPN

02244291

Manufacturer

GlaxoSmithKline Inc., GlaxoSmithKline Consumer Health Care

Formulary Listing Date

2002-07-29  

Unit Price

31.9000

Amount MOH Pays

21.3150

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

R03BA05

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02244291 Flovent HFA 31.9000 21.3150
02503115 PMS-Fluticasone HFA 21.3150 21.3150
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph