Product Details
Bezalip
Bezafibrate400 mg
SR Tablet
DIN/PIN/NPN
02083523
Manufacturer
Allergan Inc.
Formulary Listing Date
1996-10-01
Unit Price
3.0897
Amount MOH Pays
1.7460
Coverage Status
General Benefit Chronic-Use Medication
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
C10AB02
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02453312 | Jamp-Bezafibrate SR | 1.7460 | 1.7460 |
| 02083523 | Bezalip | 3.0897 | 1.7460 |
LU Clinical Criteria
NORequirements
NA