DIN/PIN/NPN Detail

28:00 CENTRAL NERVOUS SYSTEM DRUGS

28:12:00 ANTICONVULSANTS

LU Criteria Text

Auro-Lacosamide (LACOSAMIDE)150mg Tab

DIN/PIN/NPN:02475359

Interchangeables:

Manufacturer:

Auro Pharma Inc.

Formulary Listing Date:

2018-11-29

Drug Benefit Price or Unit Price:

1.1763

Amount MOH Pays:

1.1763

Coverage Status:

Limited Use Product