Product Details
Valtrex
Valacyclovir500 mg
Tablet
DIN/PIN/NPN
02219492
Manufacturer
GlaxoSmithKline Inc., GlaxoSmithKline Consumer Health Care
Formulary Listing Date
1996-12-19
Unit Price
4.3143
Amount MOH Pays
0.6198
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
J05AB11
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02219492 | Valtrex | 4.3143 | 0.6198 |
| 02454645 | Valacyclovir | 0.6198 | 0.6198 |
| 02442000 | Valacyclovir | 0.6198 | 0.6198 |
| 02357534 | Teva-Valacyclovir | 0.6198 | 0.6198 |
| 02347091 | Sandoz Valacyclovir | 0.6198 | 0.6198 |
| 02298457 | PMS-Valacyclovir | 0.6198 | 0.6198 |
| 02351579 | Mylan-Valacyclovir | 0.6198 | 0.6198 |
| 02441454 | Jamp-Valacyclovir | 0.6198 | 0.6198 |
| 02440598 | Jamp Valacyclovir | 0.6198 | 0.6198 |
| 02331748 | Co Valacyclovir | 0.6198 | 0.6198 |
| 02405040 | Auro-Valacyclovir | 0.6198 | 0.6198 |
| 02295822 | Apo-Valacyclovir | 0.6198 | 0.6198 |