Product Details

Lodalis

Colesevelam Hydrochloride
625 mg
Tablet


DIN/PIN/NPN

02373955

Manufacturer

Valeant Canada Ltd.

Formulary Listing Date

2014-05-29  

Unit Price

1.3594

Amount MOH Pays

0.5931

Coverage Status

General Benefit Chronic-Use Medication

ODB Formulary Therapeutic Classification

Therapeutic Note

Colesevelam Hydrochloride 625 mg Tablet: Colesevelam Hydrochloride is indicated for the reduction of cholesterol blood level in patients with hypercholesterolemia (Frederickson Type IIa) as an adjunct to diet and lifestyle changes, when the response to these measures has been inadequate, in patients: • who are not adequately controlled with an HMG-CoA reductase inhibitor (statin) alone, OR • who are unable to tolerate a statin.

ATC Code

C10AC04

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02373955 Lodalis 1.3594 0.5931
02494051 Apo-Colesevelam 0.5931 0.5931
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph