Product Details

Sandoz Entacapone

Entacapone
200 mg
Tablet


DIN/PIN/NPN

02380005

Manufacturer

Sandoz Canada Inc.

Formulary Listing Date

2012-05-29  

Unit Price

0.4010

Amount MOH Pays

0.4010

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N04BX02

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02375559 Teva-Entacapone 0.4010 0.4010
02380005 Sandoz Entacapone 0.4010 0.4010
02243763 Comtan 1.6837 0.4010
02535939 Mint-Entacapone 0.4010 0.4010
 

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
367 Indefinite

For the treatment of patients with Parkinson's disease with 25% of the waking day in the off state despite maximally tolerated doses of levodopa.

 

EAP Criteria

NO

Product Monograph

View Monograph