Product Details

Sporanox

Itraconazole
100 mg
Capsule


DIN/PIN/NPN

02047454

Manufacturer

Janssen Inc.

Formulary Listing Date

1996-10-01  

Unit Price

6.6750

Amount MOH Pays

3.9270

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

J02AC02

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02047454 Sporanox 6.6750 3.9270
02462559 Mint-Itraconazole 3.9270 3.9270
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph