Product Details
Sandoz Levetiracetam
Levetiracetam1000 mg
Tablet
DIN/PIN/NPN
02462028
Manufacturer
Sandoz Canada Inc.
Formulary Listing Date
2020-08-28
Unit Price
0.7221
Amount MOH Pays
0.7221
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
N03AX14
Interchangeable Products
NOLU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| 473 | Indefinite | As adjunctive therapy in the treatment of seizure disorders where control by other listed anticonvulsants has been unsatisfactory. |