Product Details
Teva-Salbutamol Sterinebs P.F.
Salbutamol1 mg/mL
Inhalation Solution
2.5-mL Pack
DIN/PIN/NPN
01926934
Manufacturer
Teva Canada Limited
Formulary Listing Date
1996-10-01
Unit Price
0.3617
Amount MOH Pays
0.3617
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
R03AC02
Interchangeable Products
DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
---|---|---|---|
02213419 | Ventolin Nebules P.F. | NA | NA |
01926934 | Teva-Salbutamol Sterinebs P.F. | 0.3617 | 0.3617 |
02208229 | PMS-Salbutamol | 0.3617 | 0.3617 |
LU Clinical Criteria
LU Code | Auth. Period | Clinical Criteria |
---|---|---|
Note: For the vast majority of patients, a metered dose inhaler is the preferred therapy. Nebulizer therapy will be reimbursed for patients who are unable to use a metered dose inhaler, including an inhaler with a spacer attachment, or a turbuhaler. | ||
265 | Indefinite | Individuals must have a known hypersensitivity to the preservative in the bulk solution, and have a tracheostomy; |
266 | Indefinite | Individuals must have a known hypersensitivity to the preservative in the bulk solution, and be patients with cystic fibrosis in whom nebulizer therapy is indicated; |
267 | Indefinite | Individuals must have a known hypersensitivity to the preservative in the bulk solution, and have severe mental or physical disabilities; |
268 | Indefinite | Patients who have previously used nebulizer therapy within the last 12-month period. |