Prescription required for Retail Sales THEO ER

Material Number:
59686
Active Ingredient:
Theophylline
Brand Reference:
Uniphyl
 
Therapeutic Class (AHFS):
Strength:
400 MG
DIN:
02360101
UPC:
660933001231
Pack Size (Form):
100 TABLETS(BOTTLE)
 
Dosage Form:
TABLET
Scored:
Colour:
Shape:
Markings:
THE=400
 
Route of Administration:
Oral
Refrigeration Required:
No
 
Product image 1Product image 2

not to scale
 
Packaging Information:
 
Length
Width
Height
Weight
Unit/Case
Unit
4 cm
4 cm
7.5 cm
0.06 kg
N/A
Case
17 cm
13 cm
7.5 cm
0.78 kg
12
Provincial Formulary Coverage:
I
I
X
X
X
I
X
X
X
X
 
Provincial Formulary Legend:
B
Benefit (Non-Interchangeable)
I
Interchangeable Only (Non-Benefit)
X
Interchangeable
BNL
Brand Not Listed
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