Product Details

Dexedrine

Dextroamphetamine Sulfate
5 mg
Tablet


DIN/PIN/NPN

01924516

Manufacturer

Paladin Pharma Inc.

Formulary Listing Date

1996-10-01  

Unit Price

0.8026

Amount MOH Pays

0.5081

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

C.N.S. Stimulants (28:20:00): Stimulant medication should only be used when diagnostic criteria for narcolepsy or attention deficit disorder have been met and when stimulant medication has been demonstrated to produce clinical benefits. The use of conventional-release medication should almost always precede the use of extended-release preparations.

ATC Code

N06BA02

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02443236 Dextroamphetamine 0.5081 0.5081
01924516 Dexedrine 0.8026 0.5081
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph