Product Details
Accel-Hyoscine
Hyoscine Butylbromide10 mg
Tablet
DIN/PIN/NPN
02512335
Manufacturer
Accel Pharma Inc.
Formulary Listing Date
2021-11-30
Unit Price
0.2711
Amount MOH Pays
0.2711
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
A03BB01
Interchangeable Products
DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
---|---|---|---|
00363812 | Buscopan | 0.3655 | 0.2711 |
02512335 | Accel-Hyoscine | 0.2711 | 0.2711 |
LU Clinical Criteria
LU Code | Auth. Period | Clinical Criteria |
---|---|---|
481 | 1 year | For the management of patients receiving palliative care*. *Note: The patient must have a progressive life-limiting illness and require this medication for palliative purposes. |