Product Details
Apo-Dipyridamole
Dipyridamole50 mg
Tablet
DIN/PIN/NPN
00895652
Manufacturer
Apotex Inc.
Formulary Listing Date
2009-03-02
Unit Price
0.3685
Amount MOH Pays
0.3685
Coverage Status
Off-Formulary Interchangeable Exceptional Access Program Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
B01AC07
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 00067393 | Persantine | NA | NA |
| 00895652 | Apo-Dipyridamole | 0.3685 | 0.3685 |
LU Clinical Criteria
NOEAP 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. |