Product Details

Mint-Levocarb

Levodopa + Carbidopa
100 mg + 25 mg
Tablet

DIN/PIN/NPN

02457962

Manufacturer

Mint Pharmaceuticals Inc.

Formulary Listing Date

2017-02-28

Unit Price

0.2209

Amount MOH Pays

0.2209

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
02244495	Teva-Levocarbidopa	0.2209	0.2209
00513997	Sinemet	NA	NA
02457962	Mint-Levocarb	0.2209	0.2209
02195941	Apo-Levocarb	0.2209	0.2209
02531607	Auro-Levocarb	0.2209	0.2209

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph