Product Details

Orphenadrine

Orphenadrine Citrate
60 mg/2 mL
Solution for Injection
2-mL Pack

DIN/PIN/NPN

02229731

Manufacturer

Cytex Pharmaceutical Co.

Formulary Listing Date

1998-12-31  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

Skeletal Muscle Relaxants (12:20:00): Muscle relaxants, other than baclofen and dantrolene sodium, are not indicated for spasticity due to cerebral palsy, multiple sclerosis, spinal cord injury, etc.

ATC Code

M03BC01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02229731 Orphenadrine NA NA
01966162 Norflex NA NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph