Product Details
Anzupgo
Delgocitinib20 mg/g
Cream
DIN/PIN/NPN
02560704
Manufacturer
Leo Pharma Inc.
Formulary Listing Date
2026-10-30
Unit Price
10.6163
Amount MOH Pays
10.6163
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
D11AH11
Interchangeable Products
NOLU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| 744 | 1 year | For the treatment of moderate-to-severe chronic hand eczema (CHE) in adults when all of the following apply:
Response should be assessed at 12 weeks. Renewal: For continuation of reimbursement, the patient must demonstrate at least a 2-step improvement of IGA-CHE or PGA score, or a score of 0 to 1 (clear/almost clear) at the 12-week assessment. Of note, treatment should be discontinued when signs and symptoms of CHE resolve. In the event of recurrence of the signs and symptoms of CHE, treatment of the affected areas should be re-initiated as needed. |
Requirements