Product Details
Cotazym
Pancrelipase Equivalent To Lipase + Amylase + Protease8000 + 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
NOLU 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. |