Product Details

Scopolamine Hydrobromide Injection

Scopolamine Hydrobromide
0.4 mg/mL
Solution for Injection (Preservative-Free)


DIN/PIN/NPN

00541869

Manufacturer

Hospira Healthcare Corporation

Formulary Listing Date

2011-05-19  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

A04AD01

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

NO  

EAP Criteria

NO

Product Monograph

View Monograph