Product Details
Mylan-Nitro Sublingual Spray
Nitroglycerin0.4 mg/Metered-Dose
Sublingual Spray
200-Dose Pack
DIN/PIN/NPN
02243588
Manufacturer
Mylan Pharmaceuticals ULC
Formulary Listing Date
2003-01-30
Unit Price
8.4600
Amount MOH Pays
8.4600
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
C01DA02
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 01926721 | Nitrolingual | NA | NA |
| 02243588 | Mylan-Nitro Sublingual Spray | 8.4600 | 8.4600 |
LU Clinical Criteria
NORequirements
NA