Product Details

Nat-Alprazolam

Alprazolam
0.25 mg
Tablet


DIN/PIN/NPN

02417634

Manufacturer

Natco Pharma (Canada) Inc.

Formulary Listing Date

2015-10-29  

Unit Price

0.0633

Amount MOH Pays

0.0633

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
00548359 Xanax 0.3599 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