Product Details

Teva-Liothyronine

Liothyronine (Sodium)
25 mcg
Tablet


DIN/PIN/NPN

02494345

Manufacturer

Teva Canada Limited

Formulary Listing Date

2020-09-30  

Unit Price

1.2595

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

H03AA02

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
01919466 Cytomel NA NA
02494345 Teva-Liothyronine 1.2595 NA
 

LU Clinical Criteria

NO  

EAP Criteria

Therapeutic Class Reimbursement Criteria
Unclassified EAP Drugs

These drugs are not currently listed in the Exceptional Access Program Reimbursement Criteria for Frequently Requested Drugs – August 8, 2023 Edition

Physicians may wish to contact the EAP directly by phone at 416-327-8109 or 1-866-811-9893 or by email at EAPFeedback.MOH@ontario.ca to see if an unlisted drug product and/or indication may be considered for EAP funding.

Product Monograph

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