Product Details

Scopolamine Hydrobromide Injection

Scopolamine Hydrobromide
0.4 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.

 

EAP Criteria

NO

Product Monograph

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