Product Details
Bipazen
Desmopressin Acetate4 mcg/mL
Solution for Injection
1-mL Ampoule Pack
DIN/PIN/NPN
02513579
Manufacturer
KVR Pharmaceuticals
Formulary Listing Date
2021-12-17
Unit Price
9.0000
Amount MOH Pays
9.0000
Coverage Status
Off-Formulary Interchangeable Exceptional Access Program Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
H01BA02
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 00873993 | DDAVP | NA | NA |
| 02513579 | Bipazen | 9.0000 | 9.0000 |
LU Clinical Criteria
NOEAP Criteria
| Therapeutic Class | Reimbursement Criteria |
|---|---|
| Unclassified EAP Drugs | These drugs are not currently listed in the Exceptional Access Program Reimbursement Criteria for Frequently Requested Drugs – August 8, 2023 Edition Physicians may wish to contact the EAP directly by phone at 416-327-8109 or 1-866-811-9893 or by email at EAPFeedback.MOH@ontario.ca to see if an unlisted drug product and/or indication may be considered for EAP funding. |