Interactive Drug Benefit List
DIN/NPN/ PIN Generic Name Product Name, Strength & Dosage Form Unit Price, Unit of Issue Manufacturer LCA Price MAC Price Interchangeable Products Coverage Status
02022826 AMANTADINE HCL PDP-AMANTADINE HYDROCHLORIDE 10 MG / ML ORAL SYRUP 0.1223
ML
PPH N/A N/A NO REGULAR BENEFIT Details
01990403 AMANTADINE HCL PDP-AMANTADINE HYDROCHLORIDE 100 MG ORAL CAPSULE 0.6120
CAP
PPH N/A N/A NO REGULAR BENEFIT Details
DIN/NPN/ PIN 02022826
Generic Name AMANTADINE HCL
Product Name, Strength & Dosage Form PDP-AMANTADINE HYDROCHLORIDE 10 MG / ML ORAL SYRUP
Unit Price, Unit of Issue 0.1223
Manufacturer PPH
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
DIN/NPN/ PIN 01990403
Generic Name AMANTADINE HCL
Product Name, Strength & Dosage Form PDP-AMANTADINE HYDROCHLORIDE 100 MG ORAL CAPSULE
Unit Price, Unit of Issue 0.6120
Manufacturer PPH
LCA Price N/A
MAC Price N/A
Interchangeable Products NO
Coverage Status REGULAR BENEFIT
Details
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NOTICE:
The DBL, DBS and related publications require knowledgeable interpretation and are intended primarily for professional health care practitioners, pharmacies, hospitals and organizations associated with the manufacture, distribution and use of pharmaceutical preparations.
Electronic versions of all DBL and DBS related publications are unofficial versions and are provided for convenience and private use only. Official paper versions can be obtained from Alberta Blue Cross who publishes them on behalf of Alberta Health and Alberta Human Services.
Alberta Health reserves the right to make changes, without notice, to the List through the Interactive DBL(iDBL), and any such changes to the Interactive DBL(iDBL) are effective the date of the change (unless otherwise stated) and regardless of the date of publication in the paper version or updates.