Product Details

Jamp Apremilast

Apremilast
30 mg
Tablet


DIN/PIN/NPN

02528959

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2023-03-31  

Unit Price

18.7238

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

L04AA32

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02518910 GLN-Apremilast 18.7238 NA
02434334 Otezla NA NA
02521733 PMS-Apremilast 18.7238 NA
02529084 Sandoz Apremilast 18.7238 NA
02524104 Auro-Apremilast 18.7237 NA
02528959 Jamp Apremilast 18.7238 NA
02525747 Mint-Apremilast 18.7238 NA
02538180 Apo-Apremilast 18.7238 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph