Product Details

PegLyte Powder

PEG-Electrolytes

Powder
4-L Pack

DIN/PIN/NPN

00777838

Manufacturer

Pendopharm, Division of Pharmascience Inc.

Formulary Listing Date

1996-10-01

Unit Price

17.7331

Amount MOH Pays

17.7331

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

40:12:00 Replacement Agents

Therapeutic Note

NO

ATC Code

A06AD10

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
00777838	PegLyte Powder	17.7331	17.7331
00677442	Colyte	NA	NA

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph