Product Details

Act Escitalopram ODT

Escitalopram
10 mg
Orally Disintegrating Tablet

DIN/PIN/NPN

02454297

Manufacturer

Actavis Pharma Company

Formulary Listing Date

2016-11-30

Unit Price

1.3199

Amount MOH Pays

1.3199

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

28:16:04 Antidepressants

Therapeutic Note

NO

ATC Code

N06AB10

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02391449	Cipralex MELTZ	NA	NA
02454297	Act Escitalopram ODT	1.3199	1.3199

LU Clinical Criteria

NO

Requirements

NA

EAP Criteria

NO

Product Monograph

View Monograph