Product Details

PDP-Amantadine Hydrochloride Syrup

Amantadine HCl
10 mg/mL
Oral Liquid


DIN/PIN/NPN

02022826

Manufacturer

Pendopharm, Division of Pharmascience Inc.

Formulary Listing Date

1997-08-28  

Unit Price

0.0988

Amount MOH Pays

0.0988

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

Amantadine HCl: Amantadine increases central and peripheral effects of anticholinergic drugs.

ATC Code

N04BB01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
01913999 Symmetrel NA NA
02022826 PDP-Amantadine Hydrochloride Syrup 0.0988 0.0988
02538601 Odan-Amantadine Syrup 0.0988 0.0988
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph