Product Details
Lithane
Lithium Carbonate150 mg
Capsule
DIN/PIN/NPN
02013231
Manufacturer
Searchlight Pharma Inc.
Formulary Listing Date
1996-10-01
Unit Price
0.1892
Amount MOH Pays
0.0667
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 |
|---|---|---|---|
| 02013231 | Lithane | 0.1892 | 0.0667 |
| 09857532 | Apo-Lithium Carbonate | 0.0667 | 0.0667 |
LU Clinical Criteria
NORequirements
NA