Product Details

Mint-Mexiletine

Mexiletine HCl
200 mg
Capsule


DIN/PIN/NPN

02536854

Manufacturer

Mint Pharmaceuticals Inc.

Formulary Listing Date

2024-03-28  

Unit Price

0.9837

Amount MOH Pays

0.9837

Coverage Status

General Benefit Chronic-Use Medication

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

C01BB02

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02230360 Teva-Mexiletine 0.9837 0.9837
00599964 Mexitil NA NA
02536854 Mint-Mexiletine 0.9837 0.9837
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph