Product Details
Stalevo
Levodopa + Carbidopa + Entacapone125 mg + 31.25 mg + 200 mg
Tablet
DIN/PIN/NPN
02337835
Manufacturer
Sandoz Canada Inc.
Formulary Listing Date
2010-10-28
Unit Price
1.7471
Amount MOH Pays
1.7471
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
N04BA03
Interchangeable Products
NOLU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| 367 | Indefinite | For the treatment of patients with Parkinson's disease with 25% of the waking day in the off state despite maximally tolerated doses of levodopa. |