Product Details

Act Fluconazole

Fluconazole
50 mg
Tablet


DIN/PIN/NPN

02281260

Manufacturer

Actavis Pharma Company

Formulary Listing Date

2008-01-15  

Unit Price

1.2904

Amount MOH Pays

1.2904

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

J02AC01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02236978 Teva-Fluconazole 1.2904 1.2904
02245643 PMS-Fluconazole 1.2904 1.2904
02245292 Mylan-Fluconazole 1.2904 1.2904
00891800 Diflucan NA NA
02237370 Apo-Fluconazole 1.2904 1.2904
02281260 Act Fluconazole 1.2904 1.2904
02517396 Fluconazole 1.2904 1.2904
02534886 Fluconazole 1.2904 1.2904
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph