Product Details

Loxapac

Loxapine Succinate
5 mg
Tablet


DIN/PIN/NPN

02170019

Manufacturer

Wyeth Pharmaceuticals

Formulary Listing Date

1998-03-17  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N05AH01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02230837 Xylac 0.1801 0.1801
02170019 Loxapac NA NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph