Product Details
Dovonex
Calcipotriol50 mcg/g
Ointment
DIN/PIN/NPN
01976133
Manufacturer
Leo Pharma Inc.
Formulary Listing Date
1997-04-10
Unit Price
1.1507
Amount MOH Pays
1.1507
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
D05AX02
Interchangeable Products
NOLU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| 191 | Indefinite | For the treatment of psoriasis in patients who have failed topical corticosteroids alone, or are intolerant to topical corticosteroids |