Product Details
GLN-Atovaquone
Atovaquone750 mg/5 mL
Oral Liquid
DIN/PIN/NPN
02528495
Manufacturer
Glenmark Pharmaceuticals Canada Inc.
Formulary Listing Date
2022-10-31
Unit Price
1.5857
Amount MOH Pays
1.5856
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
P01AX06
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02217422 | Mepron | 3.8377 | 1.5856 |
| 02528495 | GLN-Atovaquone | 1.5857 | 1.5856 |
| 02556618 | Auro-Atovaquone | 1.5856 | 1.5856 |
LU Clinical Criteria
NORequirements