Product Details
Jamp Tretinoin
Tretinoin (Oral)10 mg
Capsule
DIN/PIN/NPN
02520036
Manufacturer
Jamp Pharma Corporation
Formulary Listing Date
2023-11-30
Unit Price
13.9284
Amount MOH Pays
13.9284
Coverage Status
Off-Formulary Interchangeable Exceptional Access Program Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
L01XF01
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02145839 | Vesanoid | NA | NA |
| 02520036 | Jamp Tretinoin | 13.9284 | 13.9284 |
LU 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. |