Product Details

Jamp Sodium Polystyrene Sulfonate

Polystyrene Sodium Sulfonate
1 mEq/g
Oral Powder
454-g Pack

DIN/PIN/NPN

02497557

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2021-08-31  

Unit Price

29.4175

Amount MOH Pays

29.4175

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

V03AE01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00755338 Solystat 29.4175 29.4175
02473941 Odan-Sodium Polystyrene Sulfonate 29.4175 29.4175
02026961 Kayexalate 43.6300 29.4175
02497557 Jamp Sodium Polystyrene Sulfonate 29.4175 29.4175
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph