Product Details

Jamp Ketotifen Ophthalmic

Ketotifen
0.25 mg/mL
Ophthalmic Solution
5-mL Pack

DIN/PIN/NPN

02542722

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2024-06-28  

Unit Price

22.1600

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

S01GX08

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02242324 Zaditor NA NA
02400871 Ketotifen Ophthalmic Solution 21.1700 NA
02542722 Jamp Ketotifen Ophthalmic 22.1600 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph