Product Details

Elocom

Mometasone Furoate
0.1%
Lotion


DIN/PIN/NPN

00871095

Manufacturer

Organon Canada Inc.

Formulary Listing Date

1996-10-01  

Unit Price

0.5255

Amount MOH Pays

0.3627

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

D07AC13

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02266385 Taro-Mometasone 0.3627 0.3627
00871095 Elocom 0.5255 0.3627
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph