Product Details

Apo-Acyclovir Ointment

Acyclovir
5%
Topical Ointment


DIN/PIN/NPN

02477130

Manufacturer

Apotex Inc.

Formulary Listing Date

2019-05-31  

Unit Price

12.3114

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

D06BB03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00569771 Zovirax NA NA
02477130 Apo-Acyclovir Ointment 12.3114 NA
02522306 Taro-Acyclovir 12.3114 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph