Product Details
Sandostatin LAR
Octreotide10 mg/Vial
Powder for Injectable Suspension
Single-Dose Vial + Diluent in Pre-filled Syringe (Preservative-Free)
DIN/PIN/NPN
02239323
Manufacturer
Novartis Pharma Canada Inc.
Formulary Listing Date
2007-01-02
Unit Price
1320.9300
Amount MOH Pays
726.5115
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 |
|---|---|---|---|
| 02239323 | Sandostatin LAR | 1320.9300 | 726.5115 |
| 02567776 | Octreotide Depot | 726.5115 | 726.5115 |
LU Clinical Criteria
NORequirements