Product Details

Mycophenolate Mofetil

Mycophenolate Mofetil
500 mg
Tablet


DIN/PIN/NPN

02457377

Manufacturer

Sanis Health Inc.

Formulary Listing Date

2020-08-28  

Unit Price

0.7423

Amount MOH Pays

0.7423

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

L04AA06

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02348675 Teva-Mycophenolate 0.7423 0.7423
02313855 Sandoz Mycophenolate Mofetil 0.7423 0.7423
02457377 Mycophenolate Mofetil 0.7423 0.7423
02378574 Ach-Mycophenolate 0.7423 0.7423
02380382 Jamp-Mycophenolate 0.7423 0.7423
02237484 CellCept 4.3692 0.7423
02352567 Apo-Mycophenolate 0.7423 0.7423
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph