Product Details

Octreotide Acetate Omega

Octreotide
50 mcg/mL
Solution for Injection
1-mL Single-Dose Ampoule Pack

DIN/PIN/NPN

02248639

Manufacturer

Omega Laboratories Ltd.

Formulary Listing Date

2008-03-25  

Unit Price

4.0080

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

NO  

EAP Criteria

NO

Product Monograph

View Monograph