Product Details

Act Escitalopram ODT

Escitalopram
20 mg
Orally Disintegrating Tablet


DIN/PIN/NPN

02454300

Manufacturer

Actavis Pharma Company

Formulary Listing Date

2016-11-30  

Unit Price

1.4052

Amount MOH Pays

1.4052

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
02391457 Cipralex MELTZ NA NA
02454300 Act Escitalopram ODT 1.4052 1.4052
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph