Product Details

Colyte

PEG-Electrolytes

Powder
4-L Pack

DIN/PIN/NPN

00677442

Manufacturer

Pendopharm, Division of Pharmascience Inc.

Formulary Listing Date

1996-10-01

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

40:12:00 Replacement Agents

Therapeutic Note

NO

ATC Code

A06AD65

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
00777838	PegLyte Powder	16.4640	16.4640
00677442	Colyte	NA	NA
02378329	JampLyte	16.4640	16.4640

LU Clinical Criteria

NO

Requirements

NA

EAP Criteria

NO

Product Monograph

View Monograph