Product Details

Mefloquine

Mefloquine HCl
250 mg
Tablet


DIN/PIN/NPN

02244366

Manufacturer

A A Pharma Inc.

Formulary Listing Date

2007-06-06  

Unit Price

3.6950

Amount MOH Pays

3.6950

Coverage Status

Off-Formulary Interchangeable Exceptional Access Program Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

P01BC02

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02244366 Mefloquine 3.6950 3.6950
02018055 Lariam NA NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph