Product Details

Ach-Sitagliptin

Sitagliptin Phosphate Monohydrate
100 mg
Tablet


DIN/PIN/NPN

02512491

Manufacturer

Accord Healthcare Inc.

Formulary Listing Date

2023-07-31  

Unit Price

0.8197

Amount MOH Pays

0.8197

Coverage Status

General Benefit Chronic-Use Medication Insulin or Oral Hypoglycemic Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

A10BH01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02303922 Januvia 3.2787 0.8197
02508672 Apo-Sitagliptin Malate 0.8197 0.8197
02529882 Auro-Sitagliptin 0.8197 0.8197
02534150 Jamp Sitagliptin 0.8197 0.8197
02504065 Sandoz Sitagliptin 0.8197 0.8197
02529068 Sitagliptin 0.8197 0.8197
02531666 Taro-Sitagliptin Fumarate 0.8197 0.8197
02512491 Ach-Sitagliptin 0.8197 0.8197
02522721 Teva-Sitagliptin Malate 0.8197 0.8197
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph