Product Details

Procytox

Cyclophosphamide
50 mg
Tablet


DIN/PIN/NPN

02241796

Manufacturer

Baxter Corporation

Formulary Listing Date

2005-05-25  

Unit Price

0.4773

Amount MOH Pays

0.4773

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

L01AA01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02241796 Procytox 0.4773 0.4773
00344885 Cytoxan NA NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph