Product Details

Taro-Lisdexamfetamine Chewable Tablets

Lisdexamfetamine Dimesylate
50 mg
Chewable Tablet


DIN/PIN/NPN

02533383

Manufacturer

Taro Pharmaceuticals Inc.

Formulary Listing Date

2024-07-31  

Unit Price

2.2491

Amount MOH Pays

2.2491

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N06BA12

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02490269 Vyvanse 4.6736 2.2491
02533383 Taro-Lisdexamfetamine Chewable Tablets 2.2491 2.2491
02534487 Apo-Lisdexamfetamine Chewable Tablets 2.2491 2.2491
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph