Product Details
Lithane
Lithium Carbonate300 mg
Capsule
DIN/PIN/NPN
00406775
Manufacturer
Searchlight Pharma Inc.
Formulary Listing Date
1996-10-01
Unit Price
0.1892
Amount MOH Pays
0.0657
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
N05AN01
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 00406775 | Lithane | 0.1892 | 0.0657 |
| 09857540 | Apo-Lithium Carbonate | 0.0657 | 0.0657 |
LU Clinical Criteria
NORequirements
NA