Product Details

Diclofenac

Diclofenac Sodium
0.1%
Ophthalmic Solution


DIN/PIN/NPN

02475065

Manufacturer

Pharma Stulln Inc.

Formulary Listing Date

2019-12-20  

Unit Price

1.2397

Amount MOH Pays

1.2397

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

Diclofenac Sodium 0.1% Ophthalmic Solution: The prescriber should be aware that diclofenac sodium 0.1% ophthalmic solution products may be preservative-free or preservative-containing. If applicable, the prescriber should choose the most appropriate formulation (preservative-free or preservative containing) for use in the specific clinical situation in which the product was prescribed.

ATC Code

S01BC03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
01940414 Voltaren Ophtha 4.2660 1.2397
02454807 Sandoz Diclofenac Ophtha 1.2397 1.2397
02475197 Mint-Diclofenac 1.2397 1.2397
02475065 Diclofenac 1.2397 1.2397
02441020 Apo-Diclofenac Ophthalmic 1.2397 1.2397
02534525 Jamp Diclofenac 1.2397 1.2397
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph