Product Details

Jubbonti (Preservative Free)

Denosumab
60 mg/mL
Solution for Injection
Prefilled Syringe

DIN/PIN/NPN

02545411

Manufacturer

Sandoz Canada Inc.

Formulary Listing Date

2024-08-30  

Unit Price

194.7000

Amount MOH Pays

194.7000

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

M05BX04

Interchangeable Products

NO  

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
687 Indefinite

To increase the bone mass in postmenopausal females with osteoporosis who are at high risk* for fracture who have failed, had intolerance to, or are unable to take a bisphosphonate therapy.

*High risk of fracture based on a clinician's evaluation of the individual's risk of fractures that may include prior fragility fracture history and the Fracture Risk Assessment (FRAX) scores or another validated tool.

688 Indefinite

To increase the bone mass in males with osteoporosis who are at high risk* of fractures who have failed, had intolerance to, or are unable to take a bisphosphonate therapy.

*High risk of fracture based on a clinician's evaluation of the individual's risk of fractures that may include prior fragility fracture history and the Fracture Risk Assessment (FRAX) scores or another validated tool.

 

EAP Criteria

NO

Product Monograph

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