Product Details

Jamp-Vardenafil ODT

Vardenafil HCl
10 mg
Orally Disintegrating Tablet


DIN/PIN/NPN

02476088

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2019-09-30  

Unit Price

5.8778

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
02372436 Staxyn NA NA
02476088 Jamp-Vardenafil ODT 5.8778 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph