Product Details
Cyklokapron
Tranexamic Acid500 mg
Tablet
DIN/PIN/NPN
02064405
Manufacturer
Pfizer Canada Inc.
Formulary Listing Date
2013-04-30
Unit Price
NA
Amount MOH Pays
NA
Coverage Status
Off-Formulary Interchangeable Exceptional Access Program Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
B02AA02
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02401231 | Tranexamic Acid Tablets | 0.8071 | 0.8071 |
| 02496232 | Mar-Tranexamic Acid | 0.8071 | 0.8071 |
| 02409097 | Gd-Tranexamic Acid | 0.8071 | 0.8071 |
| 02064405 | Cyklokapron | NA | NA |
| 02519194 | Tranexamic Acid | 0.8071 | 0.8071 |
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. |