Product Details

Levitra

Vardenafil HCl
20 mg
Tablet


DIN/PIN/NPN

02250489

Manufacturer

Bayer Inc., Consumer Care Division

Formulary Listing Date

2018-12-21  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

G04BE09

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02464233 Mylan-Vardenafil 11.6811 NA
02250489 Levitra NA NA
02475693 Jamp-Vardenafil IR 11.6811 NA
02471663 Apo-Vardenafil 11.6811 NA
02520400 Vardenafil 11.6811 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph