Product Details
Mylan-Atovaquone/Proguanil
Atovaquone + Proguanil HCl250 mg + 100 mg
Tablet
DIN/PIN/NPN
02402165
Manufacturer
Mylan Pharmaceuticals ULC
Formulary Listing Date
2014-01-30
Unit Price
4.1308
Amount MOH Pays
4.1308
Coverage Status
Off-Formulary Interchangeable Exceptional Access Program Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
P01BB51
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02380927 | Teva-Atovaquone Proguanil | 4.1308 | 4.1308 |
| 02402165 | Mylan-Atovaquone/Proguanil | 4.1308 | 4.1308 |
| 02238151 | Malarone | 6.3558 | 4.1308 |
| 02421429 | Atovaquone Proguanil | 4.1308 | 4.1308 |
| 02466783 | Atovaquone and Proguanil Hydrochloride | 4.1308 | 4.1308 |
LU Clinical Criteria
NORequirements
NA