Prescription required for Retail Sales AA-THEO LA

Material Number:
67737
Active Ingredient:
THEOPHYLLINE
Brand Reference:
THEO-DUR
 
Therapeutic Class (AHFS):
86:16.00  
Strength:
200 MG
DIN:
00692697
UPC:
660933002689
Pack Size (Form):
100 TABLETS(BOTTLE)
 
Dosage Form:
Tablet
Scored:
Yes
Colour:
White
Shape:
oval, biconvex tablet
Markings:
Engraved APO on one side, other side scored and THE over 200.
 
Route of Administration:
Oral
Refrigeration Required:
No
 
Product image 1Product image 2

not to scale
 
Packaging Information:
 
Length
Width
Height
Weight
Unit/Case
Unit
4.50 cm
4.50 cm
8.00 cm
0.056 kg
N/A
Case
13 cm
18 cm
8 cm
0.672 kg
12
Provincial Formulary Coverage:
B
X
B
X
X
B
NAB
B
X
X
 
Provincial Formulary Legend:
B
Benefit (Non-Interchangeable)
I
Interchangeable Only (Non-Benefit)
X
Interchangeable
BNL
Brand Not Listed
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