Product Details

PMS-Eletriptan

Eletriptan
40 mg
Tablet


DIN/PIN/NPN

02434350

Manufacturer

Pharmascience Inc.

Formulary Listing Date

2015-01-28  

Unit Price

10.0850

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N02CC06

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02382105 Teva-Eletriptan 10.0850 NA
02256304 Relpax NA NA
02434350 PMS-Eletriptan 10.0850 NA
02493691 Jamp Eletriptan 10.0850 NA
02342243 Gd-Eletriptan 10.0850 NA
02511274 Eletriptan 10.0850 NA
02479478 Auro-Eletriptan 10.0850 NA
02386062 Apo-Eletriptan 10.0850 NA
02518023 Apo-Eletriptan Tablets 10.0850 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph