Product Details

Mometasone

Mometasone Furoate
50 mcg/Dose
Nasal Spray
140-Dose Pack

DIN/PIN/NPN

02551756

Manufacturer

Sivem Pharmaceuticals ULC

Formulary Listing Date

2025-07-31  

Unit Price

21.6860

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

Anti-Inflammatory Agents (52:08:00): Topical corticosteroid can reactivate pre-existing viral keratitis. These agents should be used with caution in patients with a history of previous corneal ulceration. In some patients, prolonged use of these agents can result in significant problems such as increased intraocular pressure.

ATC Code

R01AD09

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02475863 Teva-Mometasone 21.6900 NA
02449811 Sandoz Mometasone 21.6860 NA
02238465 Nasonex NA NA
02403587 Apo-Mometasone 21.6900 NA
02519127 Mometasone 21.6900 NA
02551756 Mometasone 21.6860 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph