Product Details

Tivicay

Dolutegravir
50 mg
Tablet

DIN/PIN/NPN

02414945

Manufacturer

ViiV Healthcare ULC

Formulary Listing Date

2015-04-30

Unit Price

23.9840

Amount MOH Pays

12.9452

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

08:18:00 Antivirals

Therapeutic Note

NO

ATC Code

J05AJ03

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02414945	Tivicay	23.9840	12.9452
02556782	PMS-Dolutegravir	12.9452	12.9452

LU Clinical Criteria

NO

Requirements

EAP Criteria

NO

Product Monograph

View Monograph