Product Details

Mylan-Atazanavir

Atazanavir Sulfate
150 mg
Capsule


DIN/PIN/NPN

02456877

Manufacturer

Mylan Pharmaceuticals ULC

Formulary Listing Date

2017-06-29  

Unit Price

2.8386

Amount MOH Pays

2.8386

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
02443791 Teva-Atazanavir 2.8386 2.8386
02248610 Reyataz 11.6950 2.8386
02456877 Mylan-Atazanavir 2.8386 2.8386
02513102 Jamp Atazanavir 2.8386 2.8386
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph