Product Details

Gleostine

Lomustine (CCNU)
10 mg
Capsule


DIN/PIN/NPN

09858359

Manufacturer

Septa Pharmaceuticals Inc.

Formulary Listing Date

2025-11-28  

Unit Price

211.2400

Amount MOH Pays

211.2400

Coverage Status

Temporary Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

L01AD02

Interchangeable Products

NO  

LU Clinical Criteria

NO  

Requirements


EAP Criteria

  NO

Product Monograph

View Monograph