Product Details

Pulmozyme

Dornase alfa
1 mg/mL
Solution for Inhalation
Single-Use 2.5-mL Ampoule (Preservative-Free)

DIN/PIN/NPN

02046733

Manufacturer

Hoffmann-La Roche Limited

Formulary Listing Date

2019-04-30  

Unit Price

40.7397

Amount MOH Pays

40.7397

Coverage Status

Exceptional Access Program Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

R05CB13

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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