Product Details

Bicalutamide

Bicalutamide
50 mg
Tablet


DIN/PIN/NPN

02519178

Manufacturer

Sanis Health Inc.

Formulary Listing Date

2022-06-30  

Unit Price

1.2690

Amount MOH Pays

1.2690

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

L02BB03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02270226 Teva-Bicalutamide 1.2690 1.2690
02371324 Ran-Bicalutamide 1.2690 1.2690
02275589 PMS-Bicalutamide 1.2690 1.2690
02357216 Jamp-Bicalutamide 1.2690 1.2690
02274337 Co Bicalutamide 1.2690 1.2690
02184478 Casodex 7.0500 1.2690
02325985 Bicalutamide Tablets 1.2690 1.2690
02296063 Apo-Bicalutamide 1.2690 1.2690
02519178 Bicalutamide 1.2690 1.2690
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph