Product Details

Act Escitalopram ODT

Escitalopram
20 mg
Orally Disintegrating Tablet


DIN/PIN/NPN

02454300

Manufacturer

Actavis Pharma Company

Formulary Listing Date

2016-11-30  

Unit Price

1.4052

Amount MOH Pays

1.4052

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N06AB10

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02391457 Cipralex MELTZ NA NA
02454300 Act Escitalopram ODT 1.4052 1.4052
 

LU Clinical Criteria

NO  

Requirements

NA

EAP Criteria

  NO

Product Monograph

View Monograph