Product Details

Glucagon Injection Kit

Glucagon
1 mg/Vial
Powder for Injection
1-mL Vial Pack (Kit)

DIN/PIN/NPN

09858279

Manufacturer

Amphastar Pharmaceuticals Inc.

Formulary Listing Date

2023-09-28  

Unit Price

280.0000

Amount MOH Pays

280.0000

Coverage Status

Temporary Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

H04AA01

Interchangeable Products

NO  

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph