Product Details

Jamp Pilocarpine

Pilocarpine HCl
5 mg
Tablet


DIN/PIN/NPN

02509571

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2021-05-31  

Unit Price

1.1708

Amount MOH Pays

1.1708

Coverage Status

Off-Formulary Interchangeable Exceptional Access Program Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N07AX01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02216345 Salagen NA NA
02496119 M-Pilocarpine 1.1708 1.1708
02509571 Jamp Pilocarpine 1.1708 1.1708
 

LU Clinical Criteria

NO  

EAP Criteria

Therapeutic Class Reimbursement Criteria
Unclassified EAP Drugs

These drugs are not currently listed in the Exceptional Access Program Reimbursement Criteria for Frequently Requested Drugs – August 8, 2023 Edition

Physicians may wish to contact the EAP directly by phone at 416-327-8109 or 1-866-811-9893 or by email at EAPFeedback.MOH@ontario.ca to see if an unlisted drug product and/or indication may be considered for EAP funding.

Product Monograph

View Monograph