Product Details

Co Exemestane

Exemestane
25 mg
Tablet


DIN/PIN/NPN

02390183

Manufacturer

Cobalt Pharmaceuticals Company

Formulary Listing Date

2012-10-30  

Unit Price

1.3263

Amount MOH Pays

1.3263

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

L02BG06

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02408473 Teva-Exemestane 1.3263 1.3263
02407841 Med-Exemestane 1.3263 1.3263
02390183 Co Exemestane 1.3263 1.3263
02242705 Aromasin 6.2463 1.3263
02419726 Apo-Exemestane 1.3263 1.3263
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph