Product Details

PMS-Memantine

Memantine HCl
10 mg
Tablet


DIN/PIN/NPN

02321130

Manufacturer

Pharmascience Inc.

Formulary Listing Date

2010-01-05  

Unit Price

1.6357

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N06DX01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02375532 Sandoz Memantine FCT 1.6357 NA
02320908 Ratio-Memantine 1.6357 NA
02421364 Ran-Memantine 1.6357 NA
02321130 PMS-Memantine 1.6357 NA
02446049 Memantine 1.6357 NA
02443082 Memantine 1.6357 NA
02409895 Med-Memantine 1.6357 NA
02260638 Ebixa NA NA
02324067 Co Memantine 1.6357 NA
02366487 Apo-Memantine 1.6357 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph