Product Details

Apo-Hydroxyurea

Hydroxyurea
500 mg
Capsule


DIN/PIN/NPN

02247937

Manufacturer

Apotex Inc.

Formulary Listing Date

2004-04-06  

Unit Price

1.0203

Amount MOH Pays

1.0203

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

L01XX05

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02242920 Mylan-Hydroxyurea 1.0203 1.0203
00465283 Hydrea 1.1452 1.0203
02247937 Apo-Hydroxyurea 1.0203 1.0203
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph