Product Details
Mylan-Nitro 0.4
Nitroglycerin0.4 mg/Hr
Transdermal Patch
DIN/PIN/NPN
02407450
Manufacturer
Mylan Pharmaceuticals ULC
Formulary Listing Date
2013-11-28
Unit Price
0.5040
Amount MOH Pays
0.5040
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 |
|---|---|---|---|
| 01911902 | Nitro-Dur | 0.5040 | 0.5040 |
| 02407450 | Mylan-Nitro 0.4 | 0.5040 | 0.5040 |
LU Clinical Criteria
NORequirements
NA