Product Details
Octreotide Injection
Octreotide500 mcg/mL
Solution for Injection
1-mL Single-Dose Ampoule Pack
DIN/PIN/NPN
02560291
Manufacturer
SteriMax Inc.
Formulary Listing Date
2026-02-27
Unit Price
23.7070
Amount MOH Pays
23.7070
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 |
|---|---|---|---|
| 00839213 | Sandostatin | NA | NA |
| 02248641 | Octreotide Acetate Omega | 23.7070 | 23.7070 |
| 02560291 | Octreotide Injection | 23.7070 | 23.7070 |
LU Clinical Criteria
NORequirements