Product Details
Octreotide Depot
Octreotide30 mg/Vial
Powder for Injectable Suspension
Single-Dose Vial + Diluent in Pre-filled Syringe (Preservative-Free)
DIN/PIN/NPN
02567792
Manufacturer
SteriMax Inc.
Formulary Listing Date
2026-08-31
Unit Price
1094.7600
Amount MOH Pays
1094.7600
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 |
|---|---|---|---|
| 02239325 | Sandostatin LAR | 2189.5200 | 1094.7600 |
| 02567792 | Octreotide Depot | 1094.7600 | 1094.7600 |
LU Clinical Criteria
NORequirements