Product Details

Taro-Dipyridamole/ASA

Dipyridamole + Acetylsalicylic Acid
200 mg + 25 mg
Capsule


DIN/PIN/NPN

02471051

Manufacturer

Taro Pharmaceuticals Inc.

Formulary Listing Date

2019-01-31  

Unit Price

0.6656

Amount MOH Pays

0.6656

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

B01AC30

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02471051 Taro-Dipyridamole/ASA 0.6656 0.6656
02242119 Aggrenox NA NA
 

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
349 Indefinite

For the secondary prevention of stroke.

 

EAP Criteria

NO

Product Monograph

View Monograph