Product Details

One-Alpha

Alfacalcidol
0.25 mcg
Capsule


DIN/PIN/NPN

00474517

Manufacturer

Leo Pharma Inc.

Formulary Listing Date

1996-10-01  

Unit Price

0.6289

Amount MOH Pays

0.4313

Coverage Status

General Benefit Designated Pharmaceutical Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

A11CC03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00474517 One-Alpha 0.6289 0.4313
02533316 Sandoz Alfacalcidol 0.4313 0.4313
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph