Product Details
Scopolamine Hydrobromide Injection
Scopolamine Hydrobromide0.4 mg/mL
Solution for Injection (Preservative-Free)
DIN/PIN/NPN
02242810
Manufacturer
Omega Laboratories Ltd.
Formulary Listing Date
2011-05-19
Unit Price
6.5100
Amount MOH Pays
6.5100
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
N05CM05
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02242810 | Scopolamine Hydrobromide Injection | 6.5100 | 6.5100 |
| 00541869 | Scopolamine Hydrobromide Injection | NA | NA |
LU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| 481 | 1 year | For the management of patients receiving palliative care*. *Note: The patient must have a progressive life-limiting illness and require this medication for palliative purposes. |