Product Details
Piperacillin & Tazobactam for Injection
Piperacillin Sodium + Tazobactam Sodium2 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
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. |