Product Details

Odan Levocarnitine

Levocarnitine
100 mg/mL
Oral Solution (with Preservative)


DIN/PIN/NPN

02492105

Manufacturer

Odan Laboratories Ltd.

Formulary Listing Date

2020-01-31  

Unit Price

0.3809

Amount MOH Pays

0.3809

Coverage Status

Off-Formulary Interchangeable Exceptional Access Program Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

A16AA01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02492105 Odan Levocarnitine 0.3809 0.3809
02144336 Carnitor 0.3809 0.3809
 

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

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