Product Details

Zytiga

Abiraterone Acetate
500 mg
Tablet


DIN/PIN/NPN

02457113

Manufacturer

Janssen Inc.

Formulary Listing Date

2021-03-29  

Unit Price

69.3810

Amount MOH Pays

15.3125

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

L02BX03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02457113 Zytiga 69.3810 15.3125
02501503 PMS-Abiraterone 15.3125 15.3125
02503999 Mar-Abiraterone 15.3125 15.3125
02491400 Apo-Abiraterone Film Coated Tablets 15.3125 15.3125
02521644 Sandoz Abiraterone 15.3125 15.3125
02525380 Abiraterone 15.3125 15.3125
02529629 Jamp Abiraterone 15.3125 15.3125
02533251 Reddy-Abiraterone 15.3125 15.3125
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph