Product Details

Levaquin

Levofloxacin
250 mg
Tablet


DIN/PIN/NPN

02236841

Manufacturer

Janssen Inc.

Formulary Listing Date

1999-09-15  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

J01MA12

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02298635 Sandoz Levofloxacin 1.2038 1.2038
02492725 Riva-Levofloxacin 1.2038 1.2038
02248262 Novo-Levofloxacin 1.2038 1.2038
02505797 Mint-Levofloxacin 1.2038 1.2038
02236841 Levaquin NA NA
02284707 Apo-Levofloxacin 1.2038 1.2038
02315424 Act Levofloxacin 1.2038 1.2038
02508443 Jamp Levofloxacin 1.2038 1.2038
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph