Product Details

Cefazolin for Injection USP

Cefazolin Sodium
10 g/Vial
Powder for Injection
Vial (Preservative-Free)

DIN/PIN/NPN

02465477

Manufacturer

SteriMax Inc.

Formulary Listing Date

2023-09-28

Unit Price

56.0000

Amount MOH Pays

56.0000

Coverage Status

Off-Formulary Interchangeable Exceptional Access Program Product

ODB Formulary Therapeutic Classification

08:12:28 Other Antibiotics

Therapeutic Note

NO

ATC Code

J01DB04

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02297213	Cefazolin for Injection	56.0000	56.0000
02108135	Cefazolin for Injection	NA	NA
02437120	Cefazolin for Injection	56.0000	56.0000
02465477	Cefazolin for Injection USP	56.0000	56.0000
02308967	Cefazolin for Injection USP	56.0000	56.0000

LU Clinical Criteria

NO

EAP Criteria

Therapeutic Class	Reimbursement Criteria
Anti-Infectives – Telephone Request Service (TRS) Drugs	Cefazolin Brand(s): Many Generic Brands Dosage Form/Strength: 1 g/vial Injection For treatment of infections susceptible to cefazolin. Standard Approval Duration: As requested, up to 5 years

Product Monograph