Product Details

Genotropin GoQuick

Somatropin
12 mg/Pen
Powder for Solution for Subcutaneous Injection
Multidose Pre-Filled Pen (With Preservative)

DIN/PIN/NPN

02401711

Manufacturer

Pfizer Canada Inc.

Formulary Listing Date

2023-04-28  

Unit Price

349.9880

Amount MOH Pays

349.9880

Coverage Status

Exceptional Access Program Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

H01AC01

Interchangeable Products

NO  

LU Clinical Criteria

NO  

EAP Criteria

Therapeutic Class Reimbursement Criteria
Unclassified EAP Drugs

These drugs are not currently listed in the Exceptional Access Program Reimbursement Criteria for Frequently Requested Drugs – August 8, 2023 Edition

Physicians may wish to contact the EAP directly by phone at 416-327-8109 or 1-866-811-9893 or by email at EAPFeedback.MOH@ontario.ca to see if an unlisted drug product and/or indication may be considered for EAP funding.

Product Monograph

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