Product Details

Act Buprenorphine/Naloxone

Buprenorphine + Naloxone
2 mg + 0.5 mg
Sublingual Tablet


DIN/PIN/NPN

02453908

Manufacturer

Actavis Pharma Company

Formulary Listing Date

2018-01-31  

Unit Price

1.3350

Amount MOH Pays

1.3350

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N07BC51

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02295695 Suboxone 2.7261 1.3350
02424851 PMS-Buprenorphine-Naloxone 1.3350 1.3350
02453908 Act Buprenorphine/Naloxone 1.3350 1.3350
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph