Product Details

Xylac

Loxapine Succinate
10 mg
Tablet


DIN/PIN/NPN

02230838

Manufacturer

Pendopharm, Division of Pharmascience Inc.

Formulary Listing Date

1999-04-15  

Unit Price

0.3233

Amount MOH Pays

0.3233

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N05AH01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02230838 Xylac 0.3233 0.3233
02170027 Loxapac NA NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph