Product Details

Sandoz Adapalene/Benzoyl Peroxide

Adapalene + Benzoyl Peroxide
0.3% + 2.5%
Topical Gel


DIN/PIN/NPN

02517205

Manufacturer

Sandoz Canada Inc.

Formulary Listing Date

2022-01-31  

Unit Price

2.1576

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

D10AD53

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02517205 Sandoz Adapalene/Benzoyl Peroxide 2.1576 NA
02446235 TactuPump Forte NA NA
02505053 Taro-Adapalene/Benzoyl Peroxide Forte 2.1577 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph