Product Details

Humatrope

Somatropin
24 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

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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