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

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  

EAP Criteria

NO

Product Monograph

View Monograph