Product Details
Silkis
Calcitriol3 mcg/g
Ointment
DIN/PIN/NPN
02338572
Manufacturer
Galderma Canada Inc.
Formulary Listing Date
2011-08-04
Unit Price
1.3625
Amount MOH Pays
1.3625
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
D05AX03
Interchangeable Products
NOLU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| 191 | Indefinite | For the treatment of psoriasis in patients who have failed topical corticosteroids alone, or are intolerant to topical corticosteroids |