Product Details

Dexamethasone Sodium

Dexamethasone 21-Phosphate
4 mg/mL
Solution for Injection


DIN/PIN/NPN

01977547

Manufacturer

SteriMax Inc.

Formulary Listing Date

1996-12-19  

Unit Price

1.6900

Amount MOH Pays

1.6900

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

H02AB02

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
01977547 Dexamethasone Sodium 1.6900 1.6900
00664227 Dexamethasone Sodium 1.6900 1.6900
00213624 Decadron NA NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph