Product Details
Dantrium Capsules
Dantrolene Sodium25 mg
Capsule
DIN/PIN/NPN
01997602
Manufacturer
Endo Pharmaceuticals Inc.
Formulary Listing Date
1996-10-01
Unit Price
0.7198
Amount MOH Pays
0.7198
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
Skeletal Muscle Relaxants (12:20:00): Muscle relaxants, other than baclofen and dantrolene sodium, are not indicated for spasticity due to cerebral palsy, multiple sclerosis, spinal cord injury, etc.
ATC Code
M03CA01
Interchangeable Products
NOLU Clinical Criteria
NORequirements
NA