Product Details
Dutasteride
Dutasteride0.5 mg
Capsule
DIN/PIN/NPN
02443058
Manufacturer
Sanis Health Inc.
Formulary Listing Date
2020-06-30
Unit Price
0.2565
Amount MOH Pays
0.2565
Coverage Status
Limited Use Product Chronic-Use Medication
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
G04CB02
Interchangeable Products
DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
---|---|---|---|
02490587 | Priva-Dutasteride | 0.2565 | 0.2565 |
02408287 | Teva-Dutasteride | 0.2565 | 0.2565 |
02424444 | Sandoz Dutasteride | 0.2565 | 0.2565 |
02393220 | PMS-Dutasteride | 0.2565 | 0.2565 |
02428873 | Mint-Dutasteride | 0.2565 | 0.2565 |
02416298 | Med-Dutasteride | 0.2565 | 0.2565 |
02484870 | Jamp Dutasteride | 0.2565 | 0.2565 |
02443058 | Dutasteride | 0.2565 | 0.2565 |
02429012 | Dutasteride | 0.2565 | 0.2565 |
02247813 | Avodart | 2.1070 | 0.2565 |
02469308 | Auro-Dutasteride | 0.2565 | 0.2565 |
02404206 | Apo-Dutasteride | 0.2565 | 0.2565 |
LU Clinical Criteria
LU Code | Auth. Period | Clinical Criteria |
---|---|---|
384 | Indefinite | For use in combination with an alpha blocker for the treatment of men with symptomatic* Benign Prostatic Hyperplasia. *Symptomatic is defined as having moderate (about half the time) to severe (almost always) symptoms related to the prostate in at least 4 of the following domains: |
385 | Indefinite | For monotherapy, as a second line agent in patients with symptomatic* Benign Prostatic Hyperplasia following treatment failure or intolerance to an alpha blocker. *Symptomatic is defined as having moderate (about half the time) to severe (almost always) symptoms related to the prostate in at least 4 of the following domains: |