Product Details

Sandostatin

Octreotide
200 mcg/mL
Solution for Injection
5-mL Multi-Dose Vial Pack

DIN/PIN/NPN

02049392

Manufacturer

Novartis Pharma Canada Inc.

Formulary Listing Date

2007-01-02  

Unit Price

97.0300

Amount MOH Pays

72.7725

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
02049392 Sandostatin 97.0300 72.7725
02248642 Octreotide Acetate Omega 72.7725 72.7725
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph