Product Details
Saizen
Somatropin6 mg/Cartridge (5.83 mg/mL)
Solution for Subcutaneous Injection
3-mL Blue Cartridge Pack
DIN/PIN/NPN
02350122
Manufacturer
EMD Serono
Formulary Listing Date
2013-04-30
Unit Price
268.8300
Amount MOH Pays
268.8300
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. |