Product Details
Mint-Acyclovir
Acyclovir400 mg
Tablet
DIN/PIN/NPN
02524716
Manufacturer
Mint Pharmaceuticals Inc.
Formulary Listing Date
2022-10-31
Unit Price
0.8890
Amount MOH Pays
0.8890
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 |
|---|---|---|---|
| 01911627 | Zovirax | NA | NA |
| 02285967 | Teva-Acyclovir | 0.8890 | 0.8890 |
| 02242463 | Mylan-Acyclovir | 0.8890 | 0.8890 |
| 02207648 | Apo-Acyclovir | 0.8890 | 0.8890 |
| 02524716 | Mint-Acyclovir | 0.8890 | 0.8890 |