Product Details
Mint-Acyclovir
Acyclovir200 mg
Tablet
DIN/PIN/NPN
02524708
Manufacturer
Mint Pharmaceuticals Inc.
Formulary Listing Date
2022-10-31
Unit Price
0.3511
Amount MOH Pays
0.3511
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
J05AB01
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 00634506 | Zovirax | NA | NA |
| 02285959 | Teva-Acyclovir | 0.3511 | 0.3511 |
| 02242784 | Mylan-Acyclovir | 0.3511 | 0.3511 |
| 02207621 | Apo-Acyclovir | 0.3511 | 0.3511 |
| 02524708 | Mint-Acyclovir | 0.3511 | 0.3511 |