Product Details

Gabapentin Capsules USP

Gabapentin
100 mg
Capsule


DIN/PIN/NPN

02416840

Manufacturer

Accord Healthcare Inc.

Formulary Listing Date

2015-05-28  

Unit Price

0.0416

Amount MOH Pays

0.0416

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N02BF01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02244513 Teva-Gabapentin 0.0416 0.0416
02319055 Ran-Gabapentin 0.0416 0.0416
02243446 PMS-Gabapentin 0.0416 0.0416
02084260 Neurontin 0.5288 0.0416
02361469 Jamp-Gabapentin 0.0416 0.0416
02416840 Gabapentin Capsules USP 0.0416 0.0416
02391473 Mar-Gabapentin 0.0416 0.0416
02353245 Gabapentin 0.0416 0.0416
02246314 Gabapentin 0.0416 0.0416
02256142 Co Gabapentin 0.0416 0.0416
02321203 Auro-Gabapentin 0.0416 0.0416
02244304 Apo-Gabapentin 0.0416 0.0416
02477912 AG-Gabapentin 0.0416 0.0416
02408880 Mint-Gabapentin 0.0416 0.0416
02535246 Jamp Gabapentin Capsules 0.0416 0.0416
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph