Product Details
Sandoz Cyclosporine
Cyclosporine25 mg
Capsule
DIN/PIN/NPN
02247073
Manufacturer
Sandoz Canada Inc.
Formulary Listing Date
2006-01-24
Unit Price
0.8657
Amount MOH Pays
0.8657
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
L04AD01
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02247073 | Sandoz Cyclosporine | 0.8657 | 0.8657 |
| 02150689 | Neoral | 1.7850 | 0.8657 |
LU Clinical Criteria
NORequirements
NA