Product Details

Jamp Atazanavir

Atazanavir Sulfate
300 mg
Capsule


DIN/PIN/NPN

02513129

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2023-04-28  

Unit Price

19.0681

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

J05AE08

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02443821 Teva-Atazanavir 19.0681 NA
02294176 Reyataz NA NA
02456893 Mylan-Atazanavir 19.0681 NA
02513129 Jamp Atazanavir 19.0681 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph