Product Details

Celsentri

Maraviroc
150 mg
Tablet


DIN/PIN/NPN

02299844

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
02299844 Celsentri 22.0100 16.2156
02561921 Waymade-Maraviroc 16.2156 16.2156
 

LU Clinical Criteria

NO  

Requirements


EAP Criteria

  NO

Product Monograph

View Monograph