Product Details

Mint-Itraconazole

Itraconazole
100 mg
Capsule

DIN/PIN/NPN

02462559

Manufacturer

Mint Pharmaceuticals Inc.

Formulary Listing Date

2017-07-31

Unit Price

3.9270

Amount MOH Pays

3.9270

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

08:12:04 Antifungals

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

Requirements

NA

EAP Criteria

NO

Product Monograph

View Monograph