Product Details

Mar-Acarbose

Acarbose
100 mg
Tablet


DIN/PIN/NPN

02494086

Manufacturer

Marcan Pharmaceuticals Inc.

Formulary Listing Date

2020-03-31  

Unit Price

0.1866

Amount MOH Pays

0.1866

Coverage Status

Limited Use Product Chronic-Use Medication Insulin or Oral Hypoglycemic Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

A10BF01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02494086 Mar-Acarbose 0.1866 0.1866
02190893 Glucobay NA NA
 

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
175 Indefinite

For the treatment of non-insulin-dependent diabetes mellitus (NIDDM):

In patients who cannot tolerate or have failed treatment with other oral hypoglycemic agents or in whom other oral hypoglycemic agents are contraindicated;

176 Indefinite

For the treatment of non-insulin-dependent diabetes mellitus (NIDDM):

In patients who require combination therapy with more than one oral hypoglycemic agent to control their serum glucose concentrations

 

EAP Criteria

NO

Product Monograph

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