Product Details
Sandoz Lisdexamfetamine Capsules
Lisdexamfetamine Dimesylate30 mg
Capsule
DIN/PIN/NPN
02546264
Manufacturer
Sandoz Canada Inc.
Formulary Listing Date
2024-10-31
Unit Price
1.6938
Amount MOH Pays
1.6938
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 |
|---|---|---|---|
| 02322951 | Vyvanse | 3.3875 | 2.5406 |
| 02545896 | Teva-Lisdexamfetamine | 1.6938 | 1.6938 |
| 02546264 | Sandoz Lisdexamfetamine Capsules | 1.6938 | 1.6938 |