Product Details
PMS-ISMN
Isosorbide-5-Mononitrate60 mg
ER Tablet
DIN/PIN/NPN
02301288
Manufacturer
Pharmascience Inc.
Formulary Listing Date
2008-08-28
Unit Price
0.4950
Amount MOH Pays
0.4950
Coverage Status
Off-Formulary Interchangeable Exceptional Access Program Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
C01DA14
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02301288 | PMS-ISMN | 0.4950 | 0.4950 |
| 02126559 | Imdur | NA | NA |
| 02272830 | Apo-ISMN | 0.4950 | 0.4950 |
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. |