Product Details

Mictoryl Pediatric

Propiverine Hydrochloride
5 mg
Tablet


DIN/PIN/NPN

02460289

Manufacturer

Duchesnay Inc.

Formulary Listing Date

2018-05-31  

Unit Price

0.3889

Amount MOH Pays

0.3889

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

G04BD06

Interchangeable Products

NO  

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
530 1 year

For the symptomatic treatment of urinary incontinence and/or increased urinary frequency and urgency in pediatric patients with overactive bladder.

 

EAP Criteria

NO

Product Monograph

View Monograph