Product Details

AG-Moxifloxacin

Moxifloxacin Hydrochloride
0.5%
Ophthalmic Solution
3-mL Pack (Preservative-Free)

DIN/PIN/NPN

02484757

Manufacturer

Angita Pharma Inc.

Formulary Listing Date

2020-11-30  

Unit Price

11.2700

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

S01AE07

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02252260 Vigamox NA NA
02411520 Sandoz Moxifloxacin 11.2700 NA
02432218 PMS-Moxifloxacin 11.2701 NA
02472120 Jamp-Moxifloxacin 11.2700 NA
02406373 Apo-Moxifloxacin 11.2700 NA
02484757 AG-Moxifloxacin 11.2700 NA
02404656 Act Moxifloxacin 11.2700 NA
02529076 Moxifloxacin 11.2700 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph