Product Details
One-Alpha
Alfacalcidol0.25 mcg
Capsule
DIN/PIN/NPN
00474517
Manufacturer
Leo Pharma Inc.
Formulary Listing Date
1996-10-01
Unit Price
0.6289
Amount MOH Pays
0.4313
Coverage Status
General Benefit Designated Pharmaceutical Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
A11CC03
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 00474517 | One-Alpha | 0.6289 | 0.4313 |
| 02533316 | Sandoz Alfacalcidol | 0.4313 | 0.4313 |
LU Clinical Criteria
NORequirements
NA