Product Details

Pramipexole

Pramipexole Dihydrochloride Monohydrate
1.5 mg
Tablet

DIN/PIN/NPN

02367645

Manufacturer

Sanis Health Inc.

Formulary Listing Date

2022-06-30

Unit Price

0.3901

Amount MOH Pays

0.3901

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

28:92:00 Miscellaneous Central Nervous System Drugs

Therapeutic Note

NO

ATC Code

N04BC05

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02315297	Sandoz Pramipexole	0.3901	0.3901
02309157	Pramipexole	0.3901	0.3901
09857270	Mirapex	NA	NA
02297337	Act Pramipexole	0.3901	0.3901
02424118	Auro-Pramipexole	0.3901	0.3901
02292408	Apo-Pramipexole	0.3901	0.3901
02367645	Pramipexole	0.3901	0.3901

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph