Product Details

Onglyza

Saxagliptin
5 mg
Tablet


DIN/PIN/NPN

02333554

Manufacturer

AstraZeneca

Formulary Listing Date

2012-02-29  

Unit Price

3.3776

Amount MOH Pays

1.5195

Coverage Status

General Benefit Chronic-Use Medication Insulin or Oral Hypoglycemic Product

ODB Formulary Therapeutic Classification

Therapeutic Note

Saxagliptin 5 mg Tablet: Treatment of Type 2 diabetes in patients on maximally tolerated doses of metformin who have: . Inadequate glycemic control (defined as HbA1c greater than 0.07) and intolerance or contraindication to a sulfonylurea.

ATC Code

A10BH03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02468611 Sandoz Saxagliptin 1.5195 1.5195
02333554 Onglyza 3.3776 1.5195
02507498 Apo-Saxagliptin 1.5195 1.5195
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph