Product Details
Oralair
Grass Pollen Allergen Extract300 IR
SL Tablet
DIN/PIN/NPN
02381893
Manufacturer
Stallergenes Canada Inc.
Formulary Listing Date
2014-03-27
Unit Price
4.1895
Amount MOH Pays
4.1895
Coverage Status
Limited Use Product
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
V01AA02
Interchangeable Products
NOLU Clinical Criteria
LU Code | Auth. Period | Clinical Criteria |
---|---|---|
451 | 1 year | For the seasonal treatment of grass pollen allergic rhinitis in patients that have not adequately responded to, or tolerated, conventional pharmacotherapy. Notes: - Treatment with grass pollen allergen extract must be initiated by physicians with adequate training and experience in the treatment of respiratory allergic diseases. - Treatment should be initiated four (4) months before the onset of pollen season and should only be continued until the end of the season. - Treatment should not be taken for more than three (3) consecutive years. |