Product Details
Butorphanol Nasal Spray
Butorphanol Tartrate10 mg/mL
Nasal Spray
2.5-mL Bottle
DIN/PIN/NPN
02242504
Manufacturer
A A Pharma Inc.
Formulary Listing Date
2020-11-30
Unit Price
64.0200
Amount MOH Pays
64.0200
Coverage Status
Off-Formulary Interchangeable Exceptional Access Program Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
N02AF01
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02113031 | Stadol NS | NA | NA |
| 02242504 | Butorphanol Nasal Spray | 64.0200 | 64.0200 |
LU Clinical Criteria
NOEAP Criteria
| Therapeutic Class | Reimbursement Criteria |
|---|---|
| Unclassified EAP Drugs | These drugs are not currently listed in the Exceptional Access Program Reimbursement Criteria for Frequently Requested Drugs – August 8, 2023 Edition Physicians may wish to contact the EAP directly by phone at 416-327-8109 or 1-866-811-9893 or by email at EAPFeedback.MOH@ontario.ca to see if an unlisted drug product and/or indication may be considered for EAP funding. |