Product Details

Osnuvo

Teriparatide
250 mcg/mL
Solution for Injection
3-mL Cartridge Pack

DIN/PIN/NPN

02495589

Manufacturer

Avir Pharma Inc.

Formulary Listing Date

2022-09-29  

Unit Price

565.2600

Amount MOH Pays

565.2600

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

H05AA02

Interchangeable Products

NO  

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
635 2 years

For the treatment of osteoporosis in patients at a high risk of fragility fractures who meet ALL the following criteria:

- 65 years of age or older; AND

- Has a documented bone mineral density [BMD] T-score of less than or equal to 3; AND

- Has a history of prior fragility fracture(s); AND

- Has used an anti-resorptive agent for osteoporosis which resulted in osteonecrosis of the jaw and/or an atypical femur fracture.

Note: The maximum lifetime exposure to teriparatide for an individual patient is 24 months

 

EAP Criteria

NO

Product Monograph

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