Product Details

Tobramycin Injection USP

Tobramycin Sulfate
80 mg/2 mL
Solution for Injection
2-mL Pack

DIN/PIN/NPN

02502372

Manufacturer

SteriMax Inc.

Formulary Listing Date

2023-04-28  

Unit Price

3.1500

Amount MOH Pays

3.1500

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

Tobramycin Sulfate: The prescriber should be aware that tobramycin injection products may be preservative-free or preservative-containing. If applicable, the prescriber should choose the most appropriate formulation (preservative-free or preservative containing) for use in the specific clinical situation in which the product was prescribed.

ATC Code

J01GB01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02241210 Tobramycin 3.1500 3.1500
00325449 Nebcin NA NA
02502372 Tobramycin Injection USP 3.1500 3.1500
02533103 Tobramycin Injection USP 3.1500 3.1500
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph