Product Details

Jamp Fluconazole 150 mg

Fluconazole
150 mg
Capsule


DIN/PIN/NPN

02547864

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2025-04-30  

Unit Price

3.9424

Amount MOH Pays

3.9424

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

J02AC01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02433702 Priva-Fluconazole 3.9424 3.9424
02428792 Mar-Fluconazole-150 3.9424 3.9424
02432471 Jamp-Fluconazole 3.9424 3.9424
02141442 Diflucan-150 15.7697 3.9424
02241895 Apo-Fluconazole-150 3.9424 3.9424
02521229 Fluconazole-150 3.9424 3.9424
02255510 Riva-Fluconazole 3.9424 3.9424
02547864 Jamp Fluconazole 150 mg 3.9424 3.9424
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph