Product Details
Sandostatin
Octreotide50 mcg/mL
Solution for Injection
1-mL Single-Dose Ampoule Pack
DIN/PIN/NPN
00839191
Manufacturer
Novartis Pharma Canada Inc.
Formulary Listing Date
2007-01-02
Unit Price
5.3440
Amount MOH Pays
4.0080
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
H01CB02
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 00839191 | Sandostatin | 5.3440 | 4.0080 |
| 02248639 | Octreotide Acetate Omega | 4.0080 | 4.0080 |
LU Clinical Criteria
NORequirements
NA