Product Details
Humatrope
Somatropin24 mg/Cartridge
Powder for Solution for Injection
24-mg Cartridge Pack + 3.15-mL Diluent (With Preservative)
DIN/PIN/NPN
02243079
Manufacturer
Eli Lilly Canada Inc.
Formulary Listing Date
2023-04-28
Unit Price
1261.0100
Amount MOH Pays
1261.0100
Coverage Status
Exceptional Access Program Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
H01AC01
Interchangeable Products
NOLU Clinical Criteria
NOEAP 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. |