Product Details

Xanax

Alprazolam
0.25 mg
Tablet

DIN/PIN/NPN

00548359

Manufacturer

Upjohn Canada ULC

Formulary Listing Date

1996-10-01

Unit Price

0.3464

Amount MOH Pays

0.0633

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

28:16:08 Tranquilizers

Therapeutic Note

NO

ATC Code

N05BA12

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
00548359	Xanax	0.3464	0.0633
01913484	Teva-Alprazolam	0.0633	0.0633
02417634	Nat-Alprazolam	0.0633	0.0633
00865397	Apo-Alpraz	0.0633	0.0633

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph