Product Details
Zyban
Bupropion HCl150 mg
SR Tablet
DIN/PIN/NPN
02238441
Manufacturer
Valeant Canada Ltd.
Formulary Listing Date
2011-08-04
Unit Price
1.2977
Amount MOH Pays
1.2977
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
N06AX12
Interchangeable Products
NOLU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| 423 | 12 weeks | For smoking-cessation treatment in adults, in conjunction with smoking-cessation counseling. Network Note: Limited to 12 weeks (168 tablets) of reimbursement per 365 days per patient |