Product Details

Reyataz

Atazanavir Sulfate
200 mg
Capsule


DIN/PIN/NPN

02248611

Manufacturer

Bristol Myers Squibb Canada Inc.

Formulary Listing Date

2004-11-04  

Unit Price

11.7633

Amount MOH Pays

2.8552

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

J05AE08

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02443813 Teva-Atazanavir 2.8552 2.8552
02248611 Reyataz 11.7633 2.8552
02456885 Mylan-Atazanavir 2.8552 2.8552
02513110 Jamp Atazanavir 2.8552 2.8552
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph