Product Details

Prograf

Tacrolimus
5 mg/mL
Solution for Injection
1-mL Ampoule

DIN/PIN/NPN

02176009

Manufacturer

Astellas Pharma Canada Inc.

Formulary Listing Date

1996-12-19  

Unit Price

128.2350

Amount MOH Pays

128.2350

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

L04AD02

Interchangeable Products

NO  

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
173 Indefinite

For solid organ transplant and bone marrow transplant.
 

EAP Criteria

NO

Product Monograph

View Monograph