Product Details

Revia

Naltrexone HCl
50 mg
Tablet

DIN/PIN/NPN

02213826

Manufacturer

Teva Canada Limited

Formulary Listing Date

2015-11-26

Unit Price

2.8075

Amount MOH Pays

2.8075

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

28:10:00 Opiate Antagonists

Therapeutic Note

NO

ATC Code

N07BB04

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02213826	Revia	2.8075	2.8075
02451883	Naltrexone Hydrochloride Tablets USP	2.8075	2.8075
02444275	Apo-Naltrexone	2.8075	2.8075

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph