Product Details

Apo-Butalbital-Acetylsalicylic Acid-Caffeine-Codeine-C ¼

Acetylsalicylic Acid + Butalbital + Caffeine + Codeine Phosphate
330 mg + 50 mg + 40 mg + 15 mg
Capsule


DIN/PIN/NPN

02554615

Manufacturer

Apotex Inc.

Formulary Listing Date

2025-03-31  

Unit Price

1.7363

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N02AA79

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00608203 Ratio-Tecnal C¼ 1.7363 NA
00176192 Fiorinal C¼ NA NA
02554615 Apo-Butalbital-Acetylsalicylic Acid-Caffeine-Codeine-C ¼ 1.7363 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph