Product Details

Gd-Eletriptan

Eletriptan
20 mg
Tablet


DIN/PIN/NPN

02342235

Manufacturer

Upjohn Canada ULC

Formulary Listing Date

2013-01-29  

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
02382091 Teva-Eletriptan 10.0850 NA
02256290 Relpax NA NA
02434342 PMS-Eletriptan 10.0850 NA
02493683 Jamp Eletriptan 10.0850 NA
02342235 Gd-Eletriptan 10.0850 NA
02511266 Eletriptan 10.0850 NA
02479451 Auro-Eletriptan 10.0850 NA
02386054 Apo-Eletriptan 10.0850 NA
02518015 Apo-Eletriptan Tablets 10.0850 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph