Product Details

Wellbutrin XL

Bupropion HCl
150 mg
ER Tablet


DIN/PIN/NPN

02275090

Manufacturer

Valeant Canada Ltd.

Formulary Listing Date

2007-11-10  

Unit Price

0.5916

Amount MOH Pays

0.2926

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N06AX12

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02275090 Wellbutrin XL 0.5916 0.2926
02475804 Taro-Bupropion XL 0.2926 0.2926
02439654 Act Bupropion XL 0.2926 0.2926
 

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
315 Indefinite

For the treatment of depression.

 

EAP Criteria

NO

Product Monograph

View Monograph