Product Details
Lipidil EZ
Fenofibrate48 mg
Tablet
DIN/PIN/NPN
02269074
Manufacturer
Fournier Pharma Inc.
Formulary Listing Date
2006-10-23
Unit Price
0.4986
Amount MOH Pays
0.3560
Coverage Status
General Benefit Chronic-Use Medication
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
C10AB05
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02390698 | Sandoz Fenofibrate E | 0.3560 | 0.3560 |
| 02269074 | Lipidil EZ | 0.4986 | 0.3560 |
LU Clinical Criteria
NORequirements
NA