Product Details

Jamp-Ursodiol

Ursodiol
250 mg
Tablet


DIN/PIN/NPN

02472392

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2018-11-29  

Unit Price

0.3818

Amount MOH Pays

0.3818

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

A05AA02

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02238984 Urso NA NA
02273497 PMS-Ursodiol C 0.3818 0.3818
02472392 Jamp-Ursodiol 0.3818 0.3818
02426900 GLN-Ursodiol 0.3818 0.3818
02505363 AG-Ursodiol 0.3818 0.3818
02515520 Ursodiol C 0.3818 0.3818
02544032 NRA-Ursodiol 0.3818 0.3818
 

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
273 Indefinite

For the treatment of primary biliary cirrhosis.

534 Indefinite

For the treatment of primary sclerosing cholangitis.

 

EAP Criteria

Therapeutic Class Reimbursement Criteria
Unclassified EAP Drugs

These drugs are not currently listed in the Exceptional Access Program Reimbursement Criteria for Frequently Requested Drugs – August 8, 2023 Edition

Physicians may wish to contact the EAP directly by phone at 416-327-8109 or 1-866-811-9893 or by email at EAPFeedback.MOH@ontario.ca to see if an unlisted drug product and/or indication may be considered for EAP funding.

Product Monograph

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