Product Details

Zovirax

Acyclovir
200 mg
Tablet


DIN/PIN/NPN

00634506

Manufacturer

GlaxoSmithKline Inc., GlaxoSmithKline Consumer Health Care

Formulary Listing Date

1996-10-01  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

J05AB01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00634506 Zovirax NA NA
02285959 Teva-Acyclovir 0.3511 0.3511
02242784 Mylan-Acyclovir 0.3511 0.3511
02207621 Apo-Acyclovir 0.3511 0.3511
02524708 Mint-Acyclovir 0.3511 0.3511
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph