Product Details

Co Donepezil ODT

Donepezil HCl
5 mg
Orally Disintegrating Tablet

DIN/PIN/NPN

02397617

Manufacturer

Cobalt Pharmaceuticals Company

Formulary Listing Date

2014-02-27

Unit Price

3.6176

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

12:04:00 Parasympathomimetic (Cholinergic) Agents

Therapeutic Note

NO

ATC Code

N06DA02

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02367688	Sandoz Donepezil ODT	3.6176	NA
02397617	Co Donepezil ODT	3.6176	NA
02269457	Aricept RDT	NA	NA

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph