Product Details

PMS-Fampridine

Fampridine
10 mg
ER Tablet


DIN/PIN/NPN

02496216

Manufacturer

Pharmascience Inc.

Formulary Listing Date

2021-04-30  

Unit Price

8.4730

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N07XX07

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02379910 Fampyra NA NA
02482398 Taro-Fampridine 8.4730 NA
02496216 PMS-Fampridine 8.4730 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph