Product Details

Nat-Alprazolam

Alprazolam
0.5 mg
Tablet


DIN/PIN/NPN

02417642

Manufacturer

Natco Pharma (Canada) Inc.

Formulary Listing Date

2015-10-29  

Unit Price

0.0757

Amount MOH Pays

0.0757

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N05BA12

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00548367 Xanax 0.4143 0.0757
01913492 Teva-Alprazolam 0.0757 0.0757
02417642 Nat-Alprazolam 0.0757 0.0757
00865400 Apo-Alpraz 0.0757 0.0757
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph