Product Details

Co Olanzapine

Olanzapine
2.5 mg
Tablet


DIN/PIN/NPN

02325659

Manufacturer

Cobalt Pharmaceuticals Company

Formulary Listing Date

2010-04-23  

Unit Price

0.1772

Amount MOH Pays

0.1772

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N05AH03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02229250 Zyprexa 2.2996 0.1772
02276712 Teva-Olanzapine 0.1772 0.1772
02310341 Sandoz Olanzapine 0.1772 0.1772
02303116 PMS-Olanzapine 0.1772 0.1772
02385864 Olanzapine 0.1772 0.1772
02372819 Olanzapine 0.1772 0.1772
02410141 Mint-Olanzapine 0.1772 0.1772
02417243 Jamp Olanzapine FC 0.1772 0.1772
02325659 Co Olanzapine 0.1772 0.1772
02281791 Apo-Olanzapine 0.1772 0.1772
02487608 AG-Olanzapine FC 0.1772 0.1772
02545586 NRA-Olanzapine 0.1772 0.1772
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph