Product Details
Sabril
Vigabatrin500 mg
Tablet
DIN/PIN/NPN
02065819
Manufacturer
Ovation Pharmaceuticals Inc.
Formulary Listing Date
1996-10-01
Unit Price
0.9566
Amount MOH Pays
0.9566
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
N03AG04
Interchangeable Products
NOLU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| 136 | Indefinite | As adjunctive therapy in the treatment of seizure disorders where control by other listed anticonvulsants has been unsatisfactory. Note: Because a large number of patients may become refractory to the anticonvulsant effects of the drug over a period of time, the effectiveness of this drug must be re-evaluated after a period of six months. |