Product Details
Sandoz Silodosin
Silodosin8 mg
Capsule
DIN/PIN/NPN
02475448
Manufacturer
Sandoz Canada Inc.
Formulary Listing Date
2021-03-29
Unit Price
0.4742
Amount MOH Pays
0.4742
Coverage Status
Limited Use Product Chronic-Use Medication
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
G04CA04
Interchangeable Products
DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
---|---|---|---|
02475448 | Sandoz Silodosin | 0.4742 | 0.4742 |
02361671 | Rapaflo | NA | NA |
02478528 | Auro-Silodosin | 0.4742 | 0.4742 |
02517787 | PMS-Silodosin | 0.4742 | 0.4742 |
02539527 | Jamp Silodosin | 0.4742 | 0.4742 |
LU Clinical Criteria
LU Code | Auth. Period | Clinical Criteria |
---|---|---|
351 | Indefinite | For the management of benign prostatic hyperplasia where six weeks of treatment with other formulary alpha blockers (e.g., doxazosin, terazosin, tamsulosin) have been ineffective |
352 | Indefinite | For the management of benign prostatic hyperplasia where other formulary alpha blockers (e.g., doxazosin, terazosin, tamsulosin) have produced intolerable side effects. |