Product Details
Co Famciclovir
Famciclovir125 mg
Tablet
DIN/PIN/NPN
02305682
Manufacturer
Cobalt Pharmaceuticals Company
Formulary Listing Date
2008-12-23
Unit Price
2.0240
Amount MOH Pays
2.0240
Coverage Status
Off-Formulary Interchangeable Exceptional Access Program Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
J05AB09
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02229110 | Famvir | NA | NA |
| 02305682 | Co Famciclovir | 2.0240 | 2.0240 |
| 02292025 | Apo-Famciclovir | 2.0240 | 2.0240 |
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. |