Product Details

Act Fluconazole

Fluconazole
100 mg
Tablet


DIN/PIN/NPN

02281279

Manufacturer

Actavis Pharma Company

Formulary Listing Date

2008-01-15  

Unit Price

2.2891

Amount MOH Pays

2.2891

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
02236979 Teva-Fluconazole 2.2891 2.2891
02245644 PMS-Fluconazole 2.2891 2.2891
02245293 Mylan-Fluconazole 2.2891 2.2891
00891819 Diflucan NA NA
02237371 Apo-Fluconazole 2.2891 2.2891
02281279 Act Fluconazole 2.2891 2.2891
02517418 Fluconazole 2.2891 2.2891
02534894 Fluconazole 2.2891 2.2891
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph