Product Details

Ondissolve ODF (Film)

Ondansetron Hydrochloride
4 mg



DIN/PIN/NPN

02389983

Manufacturer

Takeda Canada Inc.

Formulary Listing Date

2013-09-27  

Unit Price

3.2720

Amount MOH Pays

2.5450

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

A04AA01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02239372 Zofran ODT (Tablet) NA NA
02389983 Ondissolve ODF (Film) 3.2720 2.5450
02481723 Ondansetron ODT (Tablet) 3.2720 2.5450
02487330 Mint-Ondansetron ODT (Tablet) 3.2720 2.5450
02511282 Auro-Ondansetron ODT (Tablet) 3.2720 2.5450
02514966 Mar-Ondansetron ODT Tablet 3.2720 2.5450
02519232 Ondansetron ODT (Tablet) 3.2720 2.5450
02519445 PMS-Ondansetron ODT Tablet 3.2720 2.5450
02524279 Ondansetron ODT (Tablet) 3.2720 2.5450
02535319 Accel-Ondansetron ODT (Tablet) 2.5450 2.5450
02541351 Jamp Ondansetron ODF 3.2720 2.5450
 

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
215 1 year

For the treatment of emesis in cancer patients receiving highly emetogenic chemotherapy

216 1 year

For patients receiving intravenous chemotherapy or radiation therapy who have not experienced adequate control with other available anti-emetics

217 1 year

For patients receiving intravenous chemotherapy or radiation therapy who experience intolerable side effects with other anti-emetics

218 1 year

For the treatment of emesis in patients receiving radiation therapy which consists of single fraction treatment to the abdominal cavity, hemi-body irradiation and total body irradiation.

454 1 year

For the treatment of emesis in cancer patients receiving moderately emetogenic chemotherapy (MEC) regimens

696 1 year

For the treatment of emesis in patients receiving palliative care who are refractory to, intolerant to, or have a contraindication to at least two other anti-emetics.

Note: Pharmacists and prescribers should be informed of and stay current with a drug product's official indications in accordance with Health Canada's approved product monograph. Some aspects of the above criteria may differ from the official indications as described in the product monograph for the ondansetron product. The Executive Officer's funding of drug products is informed by advice from experts that consider evidence regarding the safety, clinical efficacy, and cost-effectiveness of drug products.

 

EAP 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.

Product Monograph

View Monograph