Product Details

Apo-Hydroxyquine

Hydroxychloroquine Sulfate
200 mg
Tablet


DIN/PIN/NPN

02246691

Manufacturer

Apotex Inc.

Formulary Listing Date

2003-09-04  

Unit Price

0.1576

Amount MOH Pays

0.1576

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

P01BA02

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02017709 Plaquenil 0.6516 0.1576
02424991 Mint-Hydroxychloroquine 0.1576 0.1576
02491427 Jamp-Hydroxychloroquine 0.1576 0.1576
02246691 Apo-Hydroxyquine 0.1576 0.1576
02519348 Hydroxychloroquine 0.1576 0.1576
02511886 NRA-Hydroxychloroquine 0.1576 0.1576
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph