Product Details

PMS-Valacyclovir

Valacyclovir
500 mg
Tablet


DIN/PIN/NPN

02298457

Manufacturer

Pharmascience Inc.

Formulary Listing Date

2008-08-28  

Unit Price

0.6198

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
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph