Product Details

PMS-Calcitriol

Calcitriol
0.5 mcg
Capsule


DIN/PIN/NPN

02495902

Manufacturer

Pharmascience Inc.

Formulary Listing Date

2020-11-30  

Unit Price

0.3723

Amount MOH Pays

0.3723

Coverage Status

General Benefit Designated Pharmaceutical Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

A11CC04

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02485729 Taro-Calcitriol 0.3723 0.3723
00481815 Rocaltrol 1.1246 0.3723
02431645 Calcitriol-Odan 0.3723 0.3723
02495902 PMS-Calcitriol 0.3723 0.3723
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph