Product Details
Myozyme
Alglucosidase alfa50 mg/Vial
Lyophilized powder for solution for infusion
Single-Use Vial Pack
DIN/PIN/NPN
02284863
Manufacturer
Sanofi Genzyme, a Division of Sanofi-Aventis Canada Inc.
Formulary Listing Date
2009-06-11
Unit Price
840.3100
Amount MOH Pays
840.3100
Coverage Status
Exceptional Access Program Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
A16AB07
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. |