Product Details
Mint-Trimebutine
Trimebutine Maleate200 mg
Tablet
DIN/PIN/NPN
02538210
Manufacturer
Mint Pharmaceuticals Inc.
Formulary Listing Date
2024-03-28
Unit Price
0.7677
Amount MOH Pays
0.7677
Coverage Status
Off-Formulary Interchangeable Exceptional Access Program Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
A03AA05
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02245664 | Apo-Trimebutine | 0.7677 | 0.7677 |
| 00803499 | Modulon | NA | NA |
| 02538210 | Mint-Trimebutine | 0.7677 | 0.7677 |
LU Clinical Criteria
NOEAP Criteria
| Therapeutic Class | Reimbursement Criteria |
|---|---|
| Unclassified EAP Drugs | These drugs are not currently listed in the Exceptional Access Program Reimbursement Criteria for Frequently Requested Drugs – August 8, 2023 Edition Physicians may wish to contact the EAP directly by phone at 416-327-8109 or 1-866-811-9893 or by email at EAPFeedback.MOH@ontario.ca to see if an unlisted drug product and/or indication may be considered for EAP funding. |