Product Details

Zytiga

Abiraterone Acetate
250 mg
Tablet


DIN/PIN/NPN

02371065

Manufacturer

Janssen Inc.

Formulary Listing Date

2021-03-29  

Unit Price

34.6905

Amount MOH Pays

7.6563

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
02371065 Zytiga 34.6905 7.6563
02486393 Sandoz Abiraterone 7.6563 7.6563
02477114 Reddy-Abiraterone 7.6563 7.6563
02492601 PMS-Abiraterone 7.6563 7.6563
02494132 Nat-Abiraterone 7.6563 7.6563
02503980 Mar-Abiraterone 7.6563 7.6563
02502305 Jamp-Abiraterone 7.6563 7.6563
02491397 Apo-Abiraterone Film Coated Tablets 7.6563 7.6563
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph