Product Details

PMS-Deferasirox (Type J)

Deferasirox
360 mg
Tablet


DIN/PIN/NPN

02528312

Manufacturer

Pharmascience Inc.

Formulary Listing Date

2022-10-31  

Unit Price

10.5228

Amount MOH Pays

10.5228

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
02507331 Taro-Deferasirox (Type J) 10.5228 10.5228
02489910 Sandoz Deferasirox (Type J) 10.5228 10.5228
02452235 Jadenu 43.5730 10.5228
02485281 Apo-Deferasirox (Type J) 10.5228 10.5228
02528312 PMS-Deferasirox (Type J) 10.5228 10.5228
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph