Product Details
Sandoz Lisdexamfetamine Capsules
Lisdexamfetamine Dimesylate30 mg
Capsule
DIN/PIN/NPN
02546264
Manufacturer
Sandoz Canada Inc.
Formulary Listing Date
2024-10-31
Unit Price
0.8469
Amount MOH Pays
0.8469
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
N06BA12
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02322951 | Vyvanse | 3.5196 | 0.8469 |
| 02545896 | Teva-Lisdexamfetamine | 0.8469 | 0.8469 |
| 02546264 | Sandoz Lisdexamfetamine Capsules | 0.8469 | 0.8469 |
| 02546663 | Apo-Lisdexamfetamine Capsules | 0.8469 | 0.8469 |