Product Details

Ondansetron Injection USP

Ondansetron HCl Dihydrate
2 mg/mL
Solution for Injection
4-mL Ampoule

DIN/PIN/NPN

09857602

Manufacturer

SteriMax Inc.

Formulary Listing Date

2018-11-29  

Unit Price

26.4360

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
09857324 Zofran NA NA
09857602 Ondansetron Injection USP 26.4360 NA
02491532 Auro-Ondansetron Injection 26.4360 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph