Product Details

Ondansetron Injection USP

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

DIN/PIN/NPN

02464578

Manufacturer

SteriMax Inc.

Formulary Listing Date

2018-11-29  

Unit Price

13.2180

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

A04AA01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02213745 Zofran NA NA
02464578 Ondansetron Injection USP 13.2180 NA
02491524 Auro-Ondansetron Injection 13.2180 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph