Product Details
Sandoz Cyclosporine
Cyclosporine100 mg
Capsule
DIN/PIN/NPN
02242821
Manufacturer
Sandoz Canada Inc.
Formulary Listing Date
2003-01-30
Unit Price
3.3792
Amount MOH Pays
3.3792
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 |
|---|---|---|---|
| 02242821 | Sandoz Cyclosporine | 3.3792 | 3.3792 |
| 02150670 | Neoral | 6.9680 | 3.3792 |
LU Clinical Criteria
NORequirements
NA