Home Health iDBL
Interactive Drug Benefit List
DIN/NPN/ PIN Generic Name Product Name, Strength & Dosage Form Unit Price, Unit of Issue Manufacturer LCA Price MAC Price Interchangeable Products Coverage Status
80009357 MAGNESIUM GLUCOHEPTONATE JAMP-MAGNESIUM 100 MG / ML ORAL SOLUTION N/A
ML 		JPC N/A N/A NO NOT A BENEFIT Details
80004109 MAGNESIUM GLUCOHEPTONATE MAGNESIUM-ODAN 100 MG / ML ORAL SOLUTION 0.0199
ML 		ODN N/A N/A NO REGULAR BENEFIT Details
00026697 MAGNESIUM GLUCOHEPTONATE ROUGIER MAGNESIUM 100 MG / ML ORAL SOLUTION 0.0200
ML 		TEV N/A N/A NO REGULAR BENEFIT Details
80009539 MAGNESIUM GLUCONATE JAMP MAGNESIUM GLUCONATE 500 MG ORAL TABLET 0.1088
TAB 		JPC N/A N/A NO REGULAR BENEFIT Details
00555126 MAGNESIUM GLUCONATE MAGLUCATE 500 MG ORAL TABLET 0.1183
TAB 		PPH N/A N/A NO REGULAR BENEFIT Details
00990040 PARENTERAL SOLUTIONS (LARGE & SMALL VOL) 0.9% SODIUM CHLORIDE INJECTION 0.0000
ML 		XXX N/A N/A NO PALLIATIVE COVERAGE Details
00990034 PARENTERAL SOLUTIONS (LARGE & SMALL VOL) 3.3% DEXT/ 0.3% NACL (2/3-1/3) INJECTION 0.0000
ML 		XXX N/A N/A NO PALLIATIVE COVERAGE Details
00990037 PARENTERAL SOLUTIONS (LARGE & SMALL VOL) 3.3% DEXT/0.3% NACL/20 MEQ KCL INJECTION 0.0000
ML 		XXX N/A N/A NO PALLIATIVE COVERAGE Details
00990038 PARENTERAL SOLUTIONS (LARGE & SMALL VOL) 3.3% DEXT/0.3% NACL/40 MEQ KCL INJECTION 0.0000
ML 		XXX N/A N/A NO PALLIATIVE COVERAGE Details
00990033 PARENTERAL SOLUTIONS (LARGE & SMALL VOL) 5% DEXTROSE (D5W) INJECTION 0.0000
ML 		XXX N/A N/A NO PALLIATIVE COVERAGE Details
00990035 PARENTERAL SOLUTIONS (LARGE & SMALL VOL) 5% DEXTROSE/ 0.15% KCL 20 MEQ INJECTION 0.0000
ML 		XXX N/A N/A NO PALLIATIVE COVERAGE Details
00990036 PARENTERAL SOLUTIONS (LARGE & SMALL VOL) 5% DEXTROSE/ 0.3% KCL 40 MEQ INJECTION 0.0000
ML 		XXX N/A N/A NO PALLIATIVE COVERAGE Details
00990039 PARENTERAL SOLUTIONS (LARGE & SMALL VOL) LACTATED RINGER'S INJECTION 0.0000
ML 		XXX N/A N/A NO PALLIATIVE COVERAGE Details
80033602 POTASSIUM BICARBONATE JAMP-K EFFERVESCENT (25 MEQ) 975 MG ORAL EFFERVESCENT TABLET 0.4760
TAB 		JPC N/A N/A NO REGULAR BENEFIT Details
00037869 POTASSIUM CHLORIDE (K+) POTASSIUM CHLORIDE 149 MG / ML INJECTION 0.4844
ML 		PFI N/A N/A NO PALLIATIVE COVERAGE Details
80013007 POTASSIUM CHLORIDE (K+) JAMP-K 20 20 MEQ ORAL TABLET/SUSTAINED-RELEASE TABLET 0.1161
TAB 		JPC N/A 0.1161 NO REGULAR BENEFIT Details
80004415 POTASSIUM CHLORIDE (K+) ODAN K-20 20 MEQ ORAL TABLET/SUSTAINED-RELEASE TABLET 0.1161
TAB 		ODN N/A 0.1161 NO REGULAR BENEFIT Details
80040416 POTASSIUM CHLORIDE (K+) PHARMA-K20 20 MEQ ORAL TABLET/SUSTAINED-RELEASE TABLET N/A
TAB 		PMS N/A N/A NO NOT A BENEFIT Details
80107649 POTASSIUM CHLORIDE (K+) PRZ-K20 20 MEQ ORAL EXTENDED-RELEASE TABLET N/A
TAB 		PCI N/A N/A NO UNDER REVIEW Details
02242261 POTASSIUM CHLORIDE (K+) SANDOZ K 20 20 MEQ ORAL TABLET/SUSTAINED-RELEASE TABLET 0.1161
TAB 		SDZ N/A 0.1161 NO REGULAR BENEFIT Details
80013005 POTASSIUM CHLORIDE (K+) JAMP-K 8 8 MEQ ORAL SUSTAINED-RELEASE TABLET 0.0450
TAB 		JPC N/A 0.0450 NO REGULAR BENEFIT Details
80062704 POTASSIUM CHLORIDE (K+) JAMP-POTASSIUM CHLORIDE ER 8 MEQ ORAL EXTENDED-RELEASE CAPSULE 0.0822
CAP 		JPC N/A 0.0822 NO REGULAR BENEFIT Details
02042304 POTASSIUM CHLORIDE (K+) MICRO-K EXTENCAPS 8 MEQ ORAL SUSTAINED-RELEASE CAPSULE 0.1066
CAP 		PAL N/A 0.0822 NO REGULAR BENEFIT Details
80035346 POTASSIUM CHLORIDE (K+) MK 8 8 MEQ ORAL TABLET 0.0432
TAB 		MTR N/A N/A NO REGULAR BENEFIT Details
02246734 POTASSIUM CHLORIDE (K+) SANDOZ K 8 MEQ ORAL SUSTAINED-RELEASE TABLET 0.0400
TAB 		SDZ N/A 0.0450 NO REGULAR BENEFIT Details
80024835 POTASSIUM CHLORIDE (K+)(CL-) JAMP POTASSIUM CHLORIDE 1.33 MEQ / ML ORAL LIQUID 0.0227
ML 		JPC N/A 0.0227 NO REGULAR BENEFIT Details
02238604 POTASSIUM CHLORIDE (K+)(CL-) PMS-POTASSIUM CHLORIDE 1.33 MEQ / ML ORAL LIQUID 0.0227
ML 		PMS N/A 0.0227 NO REGULAR BENEFIT Details
80046782 POTASSIUM CHLORIDE (K+)(CL-) POTASSIUM CHLORIDE 1.33 MEQ / ML ORAL LIQUID 0.0227
ML 		ODN N/A 0.0227 NO REGULAR BENEFIT Details
02085992 POTASSIUM CITRATE (K+) K-LYTE 25 MEQ ORAL EFFERVESCENT TABLET N/A
TAB 		WSP N/A N/A NO NOT A BENEFIT Details
80047562 SODIUM ACID PHOSPHATE/ SODIUM BICARBONATE/ POTASSIUM BICARBONATE JAMP-SODIUM PHOSPHATE 500 MG * 469 MG * 123 MG ORAL EFFERVESCENT TABLET 1.4010
TAB 		JPC N/A N/A NO REGULAR BENEFIT Details
00037796 SODIUM CHLORIDE SODIUM CHLORIDE 0.9 % INJECTION 0.1923
ML 		PFI 0.0000 0.0000 YES PALLIATIVE COVERAGE Details
02304341 SODIUM CHLORIDE SODIUM CHLORIDE INJECTION USP 0.9 % INJECTION 0.0998
ML 		TGT 0.0000 0.0000 YES PALLIATIVE COVERAGE Details
80027403 SODIUM CHLORIDE/ SODIUM CITRATE,ACID/ DEXTROSE/ POTASSIUM CITRATE (K+) JAMP REHYDRALYTE 470 MG * 530 MG * 3.56 G * 390 MG ORAL POWDER PACKET 1.9500
PCKT 		JPC N/A N/A NO REGULAR BENEFIT Details
02219883 SODIUM/ POTASSIUM/ CHLORIDE/ CITRATE/ DEXTROSE PEDIATRIC ELECTROLYTE 0.045 MEQ / ML * 0.02 MEQ / ML * 0.035 MEQ / ML * 0.03 MEQ / ML * 0.025 G / ML ORAL LIQUID 0.0074
ML 		PPH N/A N/A NO REGULAR BENEFIT Details
80072902 SODIUM/ POTASSIUM/ CHLORIDE/ CITRATE/ ZINC/ DEXTROSE PEDIALYTE (UNFLAVOURED) 0.045 MEQ / ML * 0.02 MEQ / ML * 0.035 MEQ / ML * 0.014 MEQ / ML * 0.0078 MG / ML * 0.025 G / ML ORAL SOLUTION 0.0075
ML 		ABN N/A N/A NO REGULAR BENEFIT Details
80074173 SODIUM/ POTASSIUM/ CHLORIDE/ CITRATE/ ZINC/ DEXTROSE PEDIALYTE (FLAVOURED) 0.045 MEQ / ML * 0.02 MEQ / ML * 0.035 MEQ / ML * 0.0255 MEQ / ML * 0.0078 MG / ML * 0.025 G / ML ORAL SOLUTION 0.0075
ML 		ABN N/A N/A NO REGULAR BENEFIT Details
DIN/NPN/ PIN 80009357
Generic Name MAGNESIUM GLUCOHEPTONATE
Product Name, Strength & Dosage Form JAMP-MAGNESIUM 100 MG / ML ORAL SOLUTION
Unit Price, Unit of Issue N/A
Manufacturer JPC
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status NOT A BENEFIT
Details
DIN/NPN/ PIN 80004109
Generic Name MAGNESIUM GLUCOHEPTONATE
Product Name, Strength & Dosage Form MAGNESIUM-ODAN 100 MG / ML ORAL SOLUTION
Unit Price, Unit of Issue 0.0199
Manufacturer ODN
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00026697
Generic Name MAGNESIUM GLUCOHEPTONATE
Product Name, Strength & Dosage Form ROUGIER MAGNESIUM 100 MG / ML ORAL SOLUTION
Unit Price, Unit of Issue 0.0200
Manufacturer TEV
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 80009539
Generic Name MAGNESIUM GLUCONATE
Product Name, Strength & Dosage Form JAMP MAGNESIUM GLUCONATE 500 MG ORAL TABLET
Unit Price, Unit of Issue 0.1088
Manufacturer JPC
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00555126
Generic Name MAGNESIUM GLUCONATE
Product Name, Strength & Dosage Form MAGLUCATE 500 MG ORAL TABLET
Unit Price, Unit of Issue 0.1183
Manufacturer PPH
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00990040
Generic Name PARENTERAL SOLUTIONS (LARGE & SMALL VOL)
Product Name, Strength & Dosage Form 0.9% SODIUM CHLORIDE INJECTION
Unit Price, Unit of Issue 0.0000
Manufacturer XXX
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status PALLIATIVE COVERAGE
Details
DIN/NPN/ PIN 00990034
Generic Name PARENTERAL SOLUTIONS (LARGE & SMALL VOL)
Product Name, Strength & Dosage Form 3.3% DEXT/ 0.3% NACL (2/3-1/3) INJECTION
Unit Price, Unit of Issue 0.0000
Manufacturer XXX
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status PALLIATIVE COVERAGE
Details
DIN/NPN/ PIN 00990037
Generic Name PARENTERAL SOLUTIONS (LARGE & SMALL VOL)
Product Name, Strength & Dosage Form 3.3% DEXT/0.3% NACL/20 MEQ KCL INJECTION
Unit Price, Unit of Issue 0.0000
Manufacturer XXX
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status PALLIATIVE COVERAGE
Details
DIN/NPN/ PIN 00990038
Generic Name PARENTERAL SOLUTIONS (LARGE & SMALL VOL)
Product Name, Strength & Dosage Form 3.3% DEXT/0.3% NACL/40 MEQ KCL INJECTION
Unit Price, Unit of Issue 0.0000
Manufacturer XXX
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status PALLIATIVE COVERAGE
Details
DIN/NPN/ PIN 00990033
Generic Name PARENTERAL SOLUTIONS (LARGE & SMALL VOL)
Product Name, Strength & Dosage Form 5% DEXTROSE (D5W) INJECTION
Unit Price, Unit of Issue 0.0000
Manufacturer XXX
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status PALLIATIVE COVERAGE
Details
DIN/NPN/ PIN 00990035
Generic Name PARENTERAL SOLUTIONS (LARGE & SMALL VOL)
Product Name, Strength & Dosage Form 5% DEXTROSE/ 0.15% KCL 20 MEQ INJECTION
Unit Price, Unit of Issue 0.0000
Manufacturer XXX
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status PALLIATIVE COVERAGE
Details
DIN/NPN/ PIN 00990036
Generic Name PARENTERAL SOLUTIONS (LARGE & SMALL VOL)
Product Name, Strength & Dosage Form 5% DEXTROSE/ 0.3% KCL 40 MEQ INJECTION
Unit Price, Unit of Issue 0.0000
Manufacturer XXX
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status PALLIATIVE COVERAGE
Details
DIN/NPN/ PIN 00990039
Generic Name PARENTERAL SOLUTIONS (LARGE & SMALL VOL)
Product Name, Strength & Dosage Form LACTATED RINGER'S INJECTION
Unit Price, Unit of Issue 0.0000
Manufacturer XXX
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status PALLIATIVE COVERAGE
Details
DIN/NPN/ PIN 80033602
Generic Name POTASSIUM BICARBONATE
Product Name, Strength & Dosage Form JAMP-K EFFERVESCENT (25 MEQ) 975 MG ORAL EFFERVESCENT TABLET
Unit Price, Unit of Issue 0.4760
Manufacturer JPC
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00037869
Generic Name POTASSIUM CHLORIDE (K+)
Product Name, Strength & Dosage Form POTASSIUM CHLORIDE 149 MG / ML INJECTION
Unit Price, Unit of Issue 0.4844
Manufacturer PFI
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status PALLIATIVE COVERAGE
Details
DIN/NPN/ PIN 80013007
Generic Name POTASSIUM CHLORIDE (K+)
Product Name, Strength & Dosage Form JAMP-K 20 20 MEQ ORAL TABLET/SUSTAINED-RELEASE TABLET
Unit Price, Unit of Issue 0.1161
Manufacturer JPC
LCA Price N/A
MAC Price 0.1161
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 80004415
Generic Name POTASSIUM CHLORIDE (K+)
Product Name, Strength & Dosage Form ODAN K-20 20 MEQ ORAL TABLET/SUSTAINED-RELEASE TABLET
Unit Price, Unit of Issue 0.1161
Manufacturer ODN
LCA Price N/A
MAC Price 0.1161
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 80040416
Generic Name POTASSIUM CHLORIDE (K+)
Product Name, Strength & Dosage Form PHARMA-K20 20 MEQ ORAL TABLET/SUSTAINED-RELEASE TABLET
Unit Price, Unit of Issue N/A
Manufacturer PMS
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status NOT A BENEFIT
Details
DIN/NPN/ PIN 80107649
Generic Name POTASSIUM CHLORIDE (K+)
Product Name, Strength & Dosage Form PRZ-K20 20 MEQ ORAL EXTENDED-RELEASE TABLET
Unit Price, Unit of Issue N/A
Manufacturer PCI
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status UNDER REVIEW
Details
DIN/NPN/ PIN 02242261
Generic Name POTASSIUM CHLORIDE (K+)
Product Name, Strength & Dosage Form SANDOZ K 20 20 MEQ ORAL TABLET/SUSTAINED-RELEASE TABLET
Unit Price, Unit of Issue 0.1161
Manufacturer SDZ
LCA Price N/A
MAC Price 0.1161
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 80013005
Generic Name POTASSIUM CHLORIDE (K+)
Product Name, Strength & Dosage Form JAMP-K 8 8 MEQ ORAL SUSTAINED-RELEASE TABLET
Unit Price, Unit of Issue 0.0450
Manufacturer JPC
LCA Price N/A
MAC Price 0.0450
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 80062704
Generic Name POTASSIUM CHLORIDE (K+)
Product Name, Strength & Dosage Form JAMP-POTASSIUM CHLORIDE ER 8 MEQ ORAL EXTENDED-RELEASE CAPSULE
Unit Price, Unit of Issue 0.0822
Manufacturer JPC
LCA Price N/A
MAC Price 0.0822
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02042304
Generic Name POTASSIUM CHLORIDE (K+)
Product Name, Strength & Dosage Form MICRO-K EXTENCAPS 8 MEQ ORAL SUSTAINED-RELEASE CAPSULE
Unit Price, Unit of Issue 0.1066
Manufacturer PAL
LCA Price N/A
MAC Price 0.0822
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 80035346
Generic Name POTASSIUM CHLORIDE (K+)
Product Name, Strength & Dosage Form MK 8 8 MEQ ORAL TABLET
Unit Price, Unit of Issue 0.0432
Manufacturer MTR
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02246734
Generic Name POTASSIUM CHLORIDE (K+)
Product Name, Strength & Dosage Form SANDOZ K 8 MEQ ORAL SUSTAINED-RELEASE TABLET
Unit Price, Unit of Issue 0.0400
Manufacturer SDZ
LCA Price N/A
MAC Price 0.0450
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 80024835
Generic Name POTASSIUM CHLORIDE (K+)(CL-)
Product Name, Strength & Dosage Form JAMP POTASSIUM CHLORIDE 1.33 MEQ / ML ORAL LIQUID
Unit Price, Unit of Issue 0.0227
Manufacturer JPC
LCA Price N/A
MAC Price 0.0227
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02238604
Generic Name POTASSIUM CHLORIDE (K+)(CL-)
Product Name, Strength & Dosage Form PMS-POTASSIUM CHLORIDE 1.33 MEQ / ML ORAL LIQUID
Unit Price, Unit of Issue 0.0227
Manufacturer PMS
LCA Price N/A
MAC Price 0.0227
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 80046782
Generic Name POTASSIUM CHLORIDE (K+)(CL-)
Product Name, Strength & Dosage Form POTASSIUM CHLORIDE 1.33 MEQ / ML ORAL LIQUID
Unit Price, Unit of Issue 0.0227
Manufacturer ODN
LCA Price N/A
MAC Price 0.0227
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02085992
Generic Name POTASSIUM CITRATE (K+)
Product Name, Strength & Dosage Form K-LYTE 25 MEQ ORAL EFFERVESCENT TABLET
Unit Price, Unit of Issue N/A
Manufacturer WSP
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status NOT A BENEFIT
Details
DIN/NPN/ PIN 80047562
Generic Name SODIUM ACID PHOSPHATE/ SODIUM BICARBONATE/ POTASSIUM BICARBONATE
Product Name, Strength & Dosage Form JAMP-SODIUM PHOSPHATE 500 MG * 469 MG * 123 MG ORAL EFFERVESCENT TABLET
Unit Price, Unit of Issue 1.4010
Manufacturer JPC
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 00037796
Generic Name SODIUM CHLORIDE
Product Name, Strength & Dosage Form SODIUM CHLORIDE 0.9 % INJECTION
Unit Price, Unit of Issue 0.1923
Manufacturer PFI
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
Coverage Status PALLIATIVE COVERAGE
Details
DIN/NPN/ PIN 02304341
Generic Name SODIUM CHLORIDE
Product Name, Strength & Dosage Form SODIUM CHLORIDE INJECTION USP 0.9 % INJECTION
Unit Price, Unit of Issue 0.0998
Manufacturer TGT
LCA Price 0.0000
MAC Price 0.0000
Interchangeable Products YES
Coverage Status PALLIATIVE COVERAGE
Details
DIN/NPN/ PIN 80027403
Generic Name SODIUM CHLORIDE/ SODIUM CITRATE,ACID/ DEXTROSE/ POTASSIUM CITRATE (K+)
Product Name, Strength & Dosage Form JAMP REHYDRALYTE 470 MG * 530 MG * 3.56 G * 390 MG ORAL POWDER PACKET
Unit Price, Unit of Issue 1.9500
Manufacturer JPC
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 02219883
Generic Name SODIUM/ POTASSIUM/ CHLORIDE/ CITRATE/ DEXTROSE
Product Name, Strength & Dosage Form PEDIATRIC ELECTROLYTE 0.045 MEQ / ML * 0.02 MEQ / ML * 0.035 MEQ / ML * 0.03 MEQ / ML * 0.025 G / ML ORAL LIQUID
Unit Price, Unit of Issue 0.0074
Manufacturer PPH
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 80072902
Generic Name SODIUM/ POTASSIUM/ CHLORIDE/ CITRATE/ ZINC/ DEXTROSE
Product Name, Strength & Dosage Form PEDIALYTE (UNFLAVOURED) 0.045 MEQ / ML * 0.02 MEQ / ML * 0.035 MEQ / ML * 0.014 MEQ / ML * 0.0078 MG / ML * 0.025 G / ML ORAL SOLUTION
Unit Price, Unit of Issue 0.0075
Manufacturer ABN
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 80074173
Generic Name SODIUM/ POTASSIUM/ CHLORIDE/ CITRATE/ ZINC/ DEXTROSE
Product Name, Strength & Dosage Form PEDIALYTE (FLAVOURED) 0.045 MEQ / ML * 0.02 MEQ / ML * 0.035 MEQ / ML * 0.0255 MEQ / ML * 0.0078 MG / ML * 0.025 G / ML ORAL SOLUTION
Unit Price, Unit of Issue 0.0075
Manufacturer ABN
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
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NOTICE:
The DBL, DBS and related publications require knowledgeable interpretation and are intended primarily for professional health care practitioners, pharmacies, hospitals and organizations associated with the manufacture, distribution and use of pharmaceutical preparations.
Electronic versions of all DBL and DBS related publications are unofficial versions and are provided for convenience and private use only. Official paper versions can be obtained from Alberta Blue Cross who publishes them on behalf of Alberta Health and Alberta Human Services.
Alberta Health reserves the right to make changes, without notice, to the List through the Interactive DBL(iDBL), and any such changes to the Interactive DBL(iDBL) are effective the date of the change (unless otherwise stated) and regardless of the date of publication in the paper version or updates.