Product Details

Provera

Medroxyprogesterone Acetate
2.5 mg
Tablet


DIN/PIN/NPN

00708917

Manufacturer

Pfizer Canada Inc.

Formulary Listing Date

1996-10-01  

Unit Price

0.2567

Amount MOH Pays

0.1301

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

G03DA02

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00708917 Provera 0.2567 0.1301
02244726 AA-Medroxy 0.1301 0.1301
 

LU Clinical Criteria

NO  

Requirements


EAP Criteria

  NO

Product Monograph

View Monograph