Product Details

Mar-Mycophenolic Acid

Mycophenolate Sodium
180 mg
Enteric Coated Tablet


DIN/PIN/NPN

02511673

Manufacturer

Marcan Pharmaceuticals Inc.

Formulary Listing Date

2021-05-31  

Unit Price

0.9989

Amount MOH Pays

0.9989

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
02264560 Myfortic 1.9977 0.9989
02511673 Mar-Mycophenolic Acid 0.9989 0.9989
02372738 Apo-Mycophenolic Acid 0.9989 0.9989
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph