Product Details
Octreotide Acetate Omega
Octreotide50 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
NORequirements
NA