Product Details

PMS-Oxybutynin

Oxybutynin Chloride
5 mg
Tablet


DIN/PIN/NPN

02240550

Manufacturer

Pharmascience Inc.

Formulary Listing Date

2000-07-17  

Unit Price

0.0986

Amount MOH Pays

0.0986

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

G04BD04

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02240550 PMS-Oxybutynin 0.0986 0.0986
02350238 Oxybutynin 0.0986 0.0986
02230394 Novo-Oxybutynin 0.0986 0.0986
01924761 Ditropan NA NA
02163543 Apo-Oxybutynin 0.0986 0.0986
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph