Product Details

Bezalip

Bezafibrate
400 mg
SR Tablet


DIN/PIN/NPN

02083523

Manufacturer

Allergan Inc.

Formulary Listing Date

1996-10-01  

Unit Price

2.8025

Amount MOH Pays

1.7460

Coverage Status

General Benefit Chronic-Use Medication

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

C10AB02

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02453312 Jamp-Bezafibrate SR 1.7460 1.7460
02083523 Bezalip 2.8025 1.7460
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph