Product Details

Mar-Mycophenolic Acid

Mycophenolate Sodium
360 mg
Enteric Coated Tablet


DIN/PIN/NPN

02511681

Manufacturer

Marcan Pharmaceuticals Inc.

Formulary Listing Date

2021-05-31  

Unit Price

1.9977

Amount MOH Pays

1.9977

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
02264579 Myfortic 3.9953 1.9977
02511681 Mar-Mycophenolic Acid 1.9977 1.9977
02372746 Apo-Mycophenolic Acid 1.9977 1.9977
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph