Product Details

Riva-Amiodarone

Amiodarone HCl
200 mg
Tablet


DIN/PIN/NPN

02247217

Manufacturer

Laboratoire Riva Inc.

Formulary Listing Date

2021-08-31  

Unit Price

0.3706

Amount MOH Pays

0.3706

Coverage Status

General Benefit Chronic-Use Medication

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

C01BD01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02239835 Teva-Amiodarone 0.3706 0.3706
02243836 Sandoz Amiodarone 0.3706 0.3706
02247217 Riva-Amiodarone 0.3706 0.3706
02242472 PMS-Amiodarone 0.3706 0.3706
02036282 Cordarone NA NA
02246194 Apo-Amiodarone 0.3706 0.3706
02385465 Amiodarone 0.3706 0.3706
02364336 Amiodarone 0.3706 0.3706
02531844 Jamp Amiodarone 0.3706 0.3706
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph