Product Details
Scopolamine Hydrobromide Injection
Scopolamine Hydrobromide0.4 mg/mL
Solution for Injection (Preservative-Free)
DIN/PIN/NPN
02242810
Manufacturer
Omega Laboratories Ltd.
Formulary Listing Date
2011-05-19
Unit Price
6.3800
Amount MOH Pays
6.3800
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
N05CM05
Interchangeable Products
DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
---|---|---|---|
02242810 | Scopolamine Hydrobromide Injection | 6.3800 | 6.3800 |
00541869 | Scopolamine Hydrobromide Injection | NA | NA |
LU Clinical Criteria
LU Code | Auth. Period | Clinical Criteria |
---|---|---|
481 | 1 year | For the management of patients receiving palliative care*. *Note: The patient must have a progressive life-limiting illness and require this medication for palliative purposes. |