Product Details
Carnitor
Levocarnitine100 mg/mL
Oral Solution (with Preservative)
DIN/PIN/NPN
02144336
Manufacturer
Leadiant Biosciences, Inc.
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
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. |