Product Details
Celsentri
Maraviroc300 mg
Tablet
DIN/PIN/NPN
02299852
Manufacturer
ViiV Healthcare ULC
Formulary Listing Date
2014-04-30
Unit Price
22.0100
Amount MOH Pays
16.2156
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
J05AX09
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02299852 | Celsentri | 22.0100 | 16.2156 |
| 02561948 | Waymade-Maraviroc | 16.2156 | 16.2156 |
LU Clinical Criteria
NORequirements