Product Details

Perphenazine

Perphenazine
2 mg
Tablet


DIN/PIN/NPN

00335134

Manufacturer

A A Pharma Inc.

Formulary Listing Date

1996-10-01  

Unit Price

0.0683

Amount MOH Pays

0.0683

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N05AB03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00028290 Trilafon NA NA
00335134 Perphenazine 0.0683 0.0683
 

LU Clinical Criteria

NO  

Requirements


EAP Criteria

  NO

Product Monograph

View Monograph