Product Details
Octreotide Injection
Octreotide100 mcg/mL
Solution for Injection
1-mL Single-Dose Ampoule Pack
DIN/PIN/NPN
02560240
Manufacturer
SteriMax Inc.
Formulary Listing Date
2026-02-27
Unit Price
5.0440
Amount MOH Pays
5.0440
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
H01CB02
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 00839205 | Sandostatin | 10.0880 | 5.0440 |
| 02248640 | Octreotide Acetate Omega | 5.0440 | 5.0440 |
| 02560240 | Octreotide Injection | 5.0440 | 5.0440 |
LU Clinical Criteria
NORequirements