Product Details
Teva-Clobazam
Clobazam10 mg
Tablet
DIN/PIN/NPN
02238334
Manufacturer
Teva Canada Limited
Formulary Listing Date
1999-04-15
Unit Price
0.2197
Amount MOH Pays
0.2197
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
N05BA09
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02238334 | Teva-Clobazam | 0.2197 | 0.2197 |
| 02221799 | Frisium | NA | NA |
| 02244638 | Apo-Clobazam | 0.2197 | 0.2197 |
LU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| 23 | Indefinite | As adjunctive therapy in the treatment of seizure disorders where control by other listed anticonvulsants has been unsatisfactory. Note: Because a large number of patients will become refractory to the anticonvulsant effects of the drug over a period of time, the effectiveness of this drug must be re-evaluated after a period of six months. |