Product Details

Mysoline

Primidone
125 mg
Tablet


DIN/PIN/NPN

02042363

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
00399310 Primidone 0.0564 0.0564
02042363 Mysoline NA NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph