Product Details

Cotazym

Pancrelipase Equivalent To Lipase + Amylase + Protease
8000 + 30000 + 30000 USP Units
Capsule


DIN/PIN/NPN

00263818

Manufacturer

Organon Canada Ltd./Ltee

Formulary Listing Date

1996-10-01  

Unit Price

0.2621

Amount MOH Pays

0.2621

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

A09AA02

Interchangeable Products

NO  

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
124 Indefinite

Replacement therapy for pancreatic insufficiency secondary to pancreatic surgery (resection).

125 Indefinite

Replacement therapy for pancreatic insufficiency due to chronic pancreatitis.

126 Indefinite

Replacement therapy for pancreatic insufficiency due to carcinoma of the pancreas.

225 Indefinite

Replacement therapy for pancreatic insufficiency due to cystic fibrosis.

 

EAP Criteria

NO

Product Monograph

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