Product Details

Provera

Medroxyprogesterone Acetate
10 mg
Tablet


DIN/PIN/NPN

00729973

Manufacturer

Pfizer Canada Inc.

Formulary Listing Date

1996-10-01  

Unit Price

1.0271

Amount MOH Pays

0.5649

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
00729973 Provera 1.0271 0.5649
02277298 AA-Medroxy 0.5649 0.5649
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph