Product Details
Ondansetron ODT (Tablet)
Ondansetron Hydrochloride8 mg
DIN/PIN/NPN
02524287
Manufacturer
Sanis Health Inc.
Formulary Listing Date
2023-11-30
Unit Price
4.9930
Amount MOH Pays
3.8840
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
A04AA01
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02239373 | Zofran ODT (Tablet) | NA | NA |
| 02389991 | Ondissolve ODF (Film) | 4.9930 | 3.8840 |
| 02481731 | Ondansetron ODT (Tablet) | 4.9930 | 3.8840 |
| 02487349 | Mint-Ondansetron ODT (Tablet) | 4.9930 | 3.8840 |
| 02511290 | Auro-Ondansetron ODT (Tablet) | 4.9930 | 3.8840 |
| 02514974 | Mar-Ondansetron ODT Tablet | 4.9930 | 3.8840 |
| 02519240 | Ondansetron ODT (Tablet) | 4.9930 | 3.8840 |
| 02519453 | PMS-Ondansetron ODT Tablet | 4.9930 | 3.8840 |
| 02524287 | Ondansetron ODT (Tablet) | 4.9930 | 3.8840 |
| 02535327 | Accel-Ondansetron ODT (Tablet) | 3.8840 | 3.8840 |
| 02541378 | Jamp Ondansetron ODF | 4.9930 | 3.8840 |
LU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| Note: The therapeutic value of Ondansetron Hydrochloride more than 24 hours after the last dose of chemotherapy is unproven | ||
| 215 | 1 year | For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy |
| 216 | 1 year | For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics |
| 217 | 1 year | For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics |
| 218 | 1 year | For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation. |
| 454 | 1 year | For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens |
| 696 | 1 year | For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics. Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products. |