Product Details

PMS-Mirtazapine

Mirtazapine
30 mg
Tablet


DIN/PIN/NPN

02248762

Manufacturer

Pharmascience Inc.

Formulary Listing Date

2004-07-20  

Unit Price

0.3100

Amount MOH Pays

0.3100

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N06AX11

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02259354 Teva-Mirtazapine 0.3100 0.3100
02250608 Sandoz Mirtazapine 0.3100 0.3100
02243910 Remeron 1.8987 0.3100
02248762 PMS-Mirtazapine 0.3100 0.3100
02256118 Mylan-Mirtazapine 0.3100 0.3100
02496674 Mirtazapine 0.3100 0.3100
02370689 Mirtazapine 0.3100 0.3100
02411709 Auro-Mirtazapine 0.3100 0.3100
02286629 Apo-Mirtazapine 0.3100 0.3100
02534932 NRA-Mirtazapine 0.3100 0.3100
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph