Product Details

Jamp-Vardenafil IR

Vardenafil HCl
10 mg
Tablet


DIN/PIN/NPN

02475685

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2018-12-21  

Unit Price

10.4019

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
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