Product Details

Perphenazine

Perphenazine
16 mg
Tablet


DIN/PIN/NPN

00335096

Manufacturer

A A Pharma Inc.

Formulary Listing Date

1996-10-01  

Unit Price

0.1359

Amount MOH Pays

0.1359

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
00028320 Trilafon NA NA
00335096 Perphenazine 0.1359 0.1359
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph