Product Details
Mycophenolate Mofetil Capsules
Mycophenolate Mofetil250 mg
Capsule
DIN/PIN/NPN
02383780
Manufacturer
Accord Healthcare Inc.
Formulary Listing Date
2012-06-26
Unit Price
0.3712
Amount MOH Pays
0.3712
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 |
|---|---|---|---|
| 02364883 | Teva-Mycophenolate | 0.3712 | 0.3712 |
| 02320630 | Sandoz Mycophenolate Mofetil | 0.3712 | 0.3712 |
| 02457369 | Mycophenolate Mofetil | 0.3712 | 0.3712 |
| 02383780 | Mycophenolate Mofetil Capsules | 0.3712 | 0.3712 |
| 02386399 | Jamp-Mycophenolate | 0.3712 | 0.3712 |
| 02192748 | CellCept | 2.1846 | 0.3712 |
| 02352559 | Apo-Mycophenolate | 0.3712 | 0.3712 |