Product Details

Mint-Quetiapine XR

Quetiapine
200 mg
ER Tablet


DIN/PIN/NPN

02522209

Manufacturer

Mint Pharmaceuticals Inc.

Formulary Listing Date

2022-07-29  

Unit Price

0.6661

Amount MOH Pays

0.6661

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N05AH04

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02395460 Teva-Quetiapine XR 0.6661 0.6661
02300192 Seroquel XR 2.9356 0.6661
02407701 Sandoz Quetiapine XRT 0.6661 0.6661
02417375 Quetiapine XR 0.6661 0.6661
02510693 NRA-Quetiapine XR 0.6661 0.6661
02457245 Apo-Quetiapine XR 0.6661 0.6661
02450887 Ach-Quetiapine Fumarate XR 0.6661 0.6661
02522209 Mint-Quetiapine XR 0.6661 0.6661
02516632 Quetiapine Fumarate XR 0.6661 0.6661
02519623 Quetiapine XR 0.6661 0.6661
02527944 M-Quetiapine Fumarate XR 0.6661 0.6661
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph