DIN/PIN/NPN Detail

28:00 CENTRAL NERVOUS SYSTEM DRUGS

28:16:04 PSYCHOTHERAPEUTIC AGENTS ANTIDEPRESSANTS

LU Criteria Text

Wellbutrin XL (BUPROPION HCL)300mg ER Tab

DIN/PIN/NPN:02275104

Interchangeables:

Manufacturer:

Valeant Canada Ltd.

Formulary Listing Date:

2007-11-10

Drug Benefit Price or Unit Price:

1.1833

Amount MOH Pays:

0.5853

Coverage Status:

Limited Use Product