Product Details
Nitrolingual Pump Spray
Nitroglycerin0.4 mg/Metered-Dose
Sublingual Pumpspray
200-Dose Pack
DIN/PIN/NPN
02231441
Manufacturer
Sanofi Aventis Pharma
Formulary Listing Date
1999-04-15
Unit Price
16.0000
Amount MOH Pays
8.4200
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 |
|---|---|---|---|
| 02238998 | Rho-Nitro Pumpspray | 8.4200 | 8.4200 |
| 02231441 | Nitrolingual Pump Spray | 16.0000 | 8.4200 |