Product Details
Octreotide Depot
Octreotide20 mg/Vial
Powder for Injectable Suspension
Single-Dose Vial + Diluent in Pre-filled Syringe (Preservative-Free)
DIN/PIN/NPN
02567784
Manufacturer
SteriMax Inc.
Formulary Listing Date
2026-08-31
Unit Price
938.6190
Amount MOH Pays
938.6190
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 |
|---|---|---|---|
| 02239324 | Sandostatin LAR | 1706.5800 | 938.6190 |
| 02567784 | Octreotide Depot | 938.6190 | 938.6190 |
LU Clinical Criteria
NORequirements