Product Details
Act Escitalopram ODT
Escitalopram20 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
NORequirements
NA