Product Details
Flunarizine
Flunarizine HCl5 mg
Capsule
DIN/PIN/NPN
02246082
Manufacturer
A A Pharma Inc.
Formulary Listing Date
2003-01-30
Unit Price
0.8320
Amount MOH Pays
0.8320
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
N07CA03
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 00846341 | Sibelium | NA | NA |
| 02246082 | Flunarizine | 0.8320 | 0.8320 |
LU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| Note: CAUTION: Contraindicated in patients with clinical depression and in patients with extrapyramidal disorders. | ||
| 60 | 1 year | For patients with migraine headaches who have not responded to propranolol. |
| 61 | 1 year | For patients who have tried propranolol and experienced significant adverse effects. |
| 62 | 1 year | For patients in whom propranolol is contraindicated. |