Product Details

Flunarizine

Flunarizine HCl
5 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.

 

EAP Criteria

NO

Product Monograph

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