Product Details

Ciprodex

Ciprofloxacin + Dexamethasone
0.3% + 0.1% w/v
Otic Suspension
7.5-mL Pack (with Preservative)

DIN/PIN/NPN

02252716

Manufacturer

Novartis Pharma Canada Inc.

Formulary Listing Date

2018-06-29  

Unit Price

31.3500

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.
 

EAP Criteria

NO

Product Monograph

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