Product Details
Ceftriaxone Sodium For Injection BP
Ceftriaxone Disodium10 g/Vial
Powder for Injection
1 Vial Pack
DIN/PIN/NPN
02325632
Manufacturer
SteriMax Inc.
Formulary Listing Date
2016-03-30
Unit Price
214.2000
Amount MOH Pays
214.2000
Coverage Status
Off-Formulary Interchangeable Exceptional Access Program Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
J01DD04
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 00851957 | Rocephin | NA | NA |
| 02325632 | Ceftriaxone Sodium For Injection BP | 214.2000 | 214.2000 |
| 02292904 | Ceftriaxone for Injection USP | 214.2000 | 214.2000 |
| 02292297 | Ceftriaxone Sodium For Injection BP | 214.2000 | 214.2000 |
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. |