Product Details

Bezalip

Bezafibrate
400 mg
SR Tablet

DIN/PIN/NPN

02083523

Manufacturer

Allergan Inc.

Formulary Listing Date

1996-10-01

Unit Price

2.9427

Amount MOH Pays

1.7460

Coverage Status

General Benefit Chronic-Use Medication

ODB Formulary Therapeutic Classification

24:06:00 Antilipemic Drugs

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	2.9427	1.7460

LU Clinical Criteria

NO

Requirements

NA

EAP Criteria

NO

Product Monograph

View Monograph