Product Details

Trelstar LA (3 Month Slow-Release)

Triptorelin Pamoate
11.25 mg/Vial
Powder for Injection
Vial Pack

DIN/PIN/NPN

02243856

Manufacturer

Knight Therapeutics Inc.

Formulary Listing Date

2007-01-02  

Unit Price

1038.9700

Amount MOH Pays

1038.9700

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

L02AE04

Interchangeable Products

NO  

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph