Product Details

PMS-Deferasirox (Type J)

Deferasirox
180 mg
Tablet


DIN/PIN/NPN

02528304

Manufacturer

Pharmascience Inc.

Formulary Listing Date

2022-11-30  

Unit Price

5.2610

Amount MOH Pays

5.2610

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

V03AC03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02507323 Taro-Deferasirox (Type J) 5.2610 5.2610
02489902 Sandoz Deferasirox (Type J) 5.2610 5.2610
02452227 Jadenu 21.7850 5.2610
02485273 Apo-Deferasirox (Type J) 5.2610 5.2610
02528304 PMS-Deferasirox (Type J) 5.2610 5.2610
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph