Product Details

Agrylin

Anagrelide HCl
0.5 mg
Capsule


DIN/PIN/NPN

02236859

Manufacturer

Takeda Canada Inc.

Formulary Listing Date

2020-02-28  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

L01XX35

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02274949 PMS-Anagrelide 4.6997 4.6997
02236859 Agrylin NA NA
 

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
400 5 years

For the treatment of essential thrombocytosis in patients who are intolerant of or who have failed hydroxyurea therapy

 

EAP Criteria

NO

Product Monograph

View Monograph