Product Details

Mint-Levocarb

Levodopa + Carbidopa
100 mg + 10 mg
Tablet

DIN/PIN/NPN

02457954

Manufacturer

Mint Pharmaceuticals Inc.

Formulary Listing Date

2017-02-28

Unit Price

0.1479

Amount MOH Pays

0.1479

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
02244494	Teva-Levocarbidopa	0.1479	0.1479
00355658	Sinemet	NA	NA
02457954	Mint-Levocarb	0.1479	0.1479
02195933	Apo-Levocarb	0.1479	0.1479
02531593	Auro-Levocarb	0.1479	0.1479
02546396	Jamp Levocarb	0.1479	0.1479
02549719	PMS-Levodopa-Carbidopa	0.1479	0.1479

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph