Product Details
Piperacillin and Tazobactam for Inj
Piperacillin Sodium + Tazobactam Sodium3 g + 375 mg
Powder for Injection
3.375 g Vial Pack
DIN/PIN/NPN
02401320
Manufacturer
Teligent OU
Formulary Listing Date
2018-11-29
Unit Price
15.2000
Amount MOH Pays
15.2000
Coverage Status
Off-Formulary Interchangeable Exceptional Access Program Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
J01CR05
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02170795 | Tazocin | NA | NA |
| 02370166 | Piperacillin/Tazobactam powder for Inj. | 15.2000 | 15.2000 |
| 02401320 | Piperacillin and Tazobactam for Inj | 15.2000 | 15.2000 |
| 02402076 | Piperacillin & Tazobactam for Injection | 15.2000 | 15.2000 |
| 02391538 | Piperacillin & Tazobactam for Injection | 15.2000 | 15.2000 |
| 02362627 | Piperacillin & Tazobactam for Injection | 15.2000 | 15.2000 |
| 02308452 | Piperacillin & Tazobactam for Injection | 15.2000 | 15.2000 |
LU Clinical Criteria
NOEAP Criteria
| Therapeutic Class | Reimbursement Criteria |
|---|---|
| Unclassified EAP Drugs | These drugs are not currently listed in the Exceptional Access Program Reimbursement Criteria for Frequently Requested Drugs – August 8, 2023 Edition Physicians may wish to contact the EAP directly by phone at 416-327-8109 or 1-866-811-9893 or by email at EAPFeedback.MOH@ontario.ca to see if an unlisted drug product and/or indication may be considered for EAP funding. |