Product Details

Mysoline

Primidone
250 mg
Tablet


DIN/PIN/NPN

02042355

Manufacturer

Wyeth Pharmaceuticals

Formulary Listing Date

1996-10-01  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N03AA03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00396761 Primidone 0.0887 0.0887
02042355 Mysoline NA NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph