Product Details
Pulmozyme
Dornase alfa1 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
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. |