Product Details

Reddy-Sapropterin

Sapropterin Dihydrochloride
500 mg/Sachet
Powder for Oral Solution


DIN/PIN/NPN

02535610

Manufacturer

Dr. Reddy's Laboratories Inc.

Formulary Listing Date

2024-01-31  

Unit Price

123.7500

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

A16AX07

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02482215 Kuvan Sachets NA NA
02535610 Reddy-Sapropterin 123.7500 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

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