Product Details

Nat-Omeprazole DR Tab

Omeprazole Magnesium
20 mg



DIN/PIN/NPN

09857536

Manufacturer

Natco Pharma (Canada) Inc.

Formulary Listing Date

2015-10-29  

Unit Price

0.2287

Amount MOH Pays

0.2287

Coverage Status

Limited Use Product Chronic-Use Medication

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
09857267 Ratio-Omeprazole DR Tab 0.2287 0.2287
09857640 Omeprazole-20 DR Cap 0.2287 0.2287
09857656 Omeprazole Magnesium Delayed Release Tab 0.2287 0.2287
09857500 Omeprazole Magnesium Delayed Release Tab 0.2287 0.2287
09857536 Nat-Omeprazole DR Tab 0.2287 0.2287
09857195 Losec DR Tab NA NA
09857464 Jamp-Omeprazole DR Tab 0.2287 0.2287
 

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
295 1 year

H. pylori-positive Peptic Ulcers

For the treatment of H. pylori-positive peptic ulcers where H. pylori is documented, by serology, urea breath test or endoscopy, for a course of up to 14 days in combination with antimicrobial therapy. Retreatment of H. pylori-positive peptic ulcers must be documented by persistent H. pylori infection on urea breath test or endoscopy.

Maximum duration: 14 days (for retreatment, a four-week period must elapse since the end of the previous treatment).
 

EAP Criteria

NO

Product Monograph

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