Product Details

Mint-Levocarb

Levodopa + Carbidopa
250 mg + 25 mg
Tablet

DIN/PIN/NPN

02457970

Manufacturer

Mint Pharmaceuticals Inc.

Formulary Listing Date

2017-02-28

Unit Price

0.2466

Amount MOH Pays

0.2466

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

92:00:00 Unclassified Therapeutic Agents

Therapeutic Note

NO

ATC Code

N04BA02

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02244496	Teva-Levocarbidopa	0.2466	0.2466
00328219	Sinemet	NA	NA
02457970	Mint-Levocarb	0.2466	0.2466
02195968	Apo-Levocarb	0.2466	0.2466
02531615	Auro-Levocarb	0.2466	0.2466

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph