Product Details
PMS-Fluticasone HFA
Fluticasone Propionate50 mcg/Metered-Dose
Inhalation Aerosol
120-Dose Pack
DIN/PIN/NPN
02503115
Manufacturer
Pharmascience Inc.
Formulary Listing Date
2023-03-31
Unit Price
14.208
Amount MOH Pays
14.208
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
R03BA05
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02244291 | Flovent HFA | 33.7500 | 14.2080 |
| 02503115 | PMS-Fluticasone HFA | 14.208 | 14.208 |
| 02528428 | Apo-Fluticasone HFA | 14.2080 | 14.2080 |