Product Details

Diclofenac Sodium Solution

Diclofenac Sodium
1.5% w/w
Topical Solution


DIN/PIN/NPN

02476134

Manufacturer

Teligent OU

Formulary Listing Date

2018-11-29  

Unit Price

0.6226

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

M02AA15

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02420988 Taro-Diclofenac 0.6226 NA
02356783 PMS-Diclofenac 0.6227 NA
02247265 Pennsaid NA NA
02472309 Jamp-Diclofenac 0.6226 NA
02434571 Diclofenac Topical Solution 0.6226 NA
02476134 Diclofenac Sodium Solution 0.6226 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph