Product Details

Periostat

Doxycycline Hyclate
20 mg
Capsule


DIN/PIN/NPN

02247104

Manufacturer

Pendopharm, Division of Pharmascience Inc.

Formulary Listing Date

2024-06-28  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

A01AB22

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02247104 Periostat NA NA
02528568 Jamp Doxycycline 1.2893 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph