Product Details

Piperacillin & Tazobactam for Injection

Piperacillin Sodium + Tazobactam Sodium
2 g + 250 mg
Powder for Injection
2.25 g Vial Pack

DIN/PIN/NPN

02362619

Manufacturer

SteriMax Inc.

Formulary Listing Date

2016-06-29  

Unit Price

10.1300

Amount MOH Pays

10.1300

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
02170817 Tazocin NA NA
02401312 Piperacillin and Tazobactam for Inj 10.1300 10.1300
02402068 Piperacillin & Tazobactam for Injection 10.1300 10.1300
02362619 Piperacillin & Tazobactam for Injection 10.1300 10.1300
02308444 Piperacillin & Tazobactam for Injection 10.1300 10.1300
 

LU Clinical Criteria

NO  

EAP 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.

Product Monograph

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