Product Details

Etoposide Capsules, USP (NDC 69238-2811)

Etoposide
50 mg
Capsule


DIN/PIN/NPN

09858436

Manufacturer

SteriMax Inc.

Formulary Listing Date

2026-10-30  

Unit Price

121.8925

Amount MOH Pays

121.8925

Coverage Status

Temporary Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

L01CB01

Interchangeable Products

NO  

LU Clinical Criteria

NO  

Requirements


EAP Criteria

  NO

Product Monograph

View Monograph