Product Details
Sandoz Ciprofloxacin/Dexamethasone
Ciprofloxacin + Dexamethasone0.3% + 0.1% w/v
Otic Suspension
7.5-mL Pack (with Preservative)
DIN/PIN/NPN
02506882
Manufacturer
Sandoz Canada Inc.
Formulary Listing Date
2021-03-29
Unit Price
14.4203
Amount MOH Pays
14.4203
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
S02CA06
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02481901 | Taro-Ciprofloxacin/Dexamethasone | 14.4203 | 14.4203 |
| 02506882 | Sandoz Ciprofloxacin/Dexamethasone | 14.4203 | 14.4203 |
| 02252716 | Ciprodex | 31.3500 | 14.4203 |
LU Clinical Criteria
| LU Code | Auth. Period | Clinical Criteria |
|---|---|---|
| 509 | 1 year | The treatment of otitis externa in patients: - With known perforated tympanic membrane or ventilation tubes; OR - Requiring chronic therapy (i.e., more than 14 days); OR - Who have been receiving more than 7 days of topical aminoglycoside therapy without improvement, where there is concern of a resistant pathogen; OR - With documented pre-existing hearing impairment. |