Product Details
Viokace
Pancrelipase Equivalent To Lipase + Amylase + Protease16 mg
Tablet
DIN/PIN/NPN
02241933
Manufacturer
Nestle Enterprises S.A.
Formulary Listing Date
2001-03-07
Unit Price
0.5826
Amount MOH Pays
0.5826
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. |