Product Details

Levitra

Vardenafil HCl
10 mg
Tablet

DIN/PIN/NPN

02250470

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

24:12:00 Vasodilating Drugs

Therapeutic Note

NO

ATC Code

G04BE09

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02464225	Mylan-Vardenafil	10.3976	NA
02250470	Levitra	NA	NA
02475685	Jamp-Vardenafil IR	10.4019	NA
02471655	Apo-Vardenafil	10.3976	NA
02520397	Vardenafil	10.3976	NA

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph