Product Details

Octreotide Acetate Omega

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

DIN/PIN/NPN

02248640

Manufacturer

Omega Laboratories Ltd.

Formulary Listing Date

2008-03-25  

Unit Price

7.5660

Amount MOH Pays

7.5660

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
00839205 Sandostatin 10.0880 7.5660
02248640 Octreotide Acetate Omega 7.5660 7.5660
 

LU Clinical Criteria

NO  

Requirements

NA

EAP Criteria

  NO

Product Monograph

View Monograph