Product Details

Pico-Salax

Magnesium Oxide + Citric Acid + Sodium Picosulfate
3.5 g + 12 g + 10 mg
Powder for Oral Solution
12-g Sachet

DIN/PIN/NPN

02254794

Manufacturer

Ferring Inc.

Formulary Listing Date

2006-04-19

Unit Price

14.5808

Amount MOH Pays

12.3500

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

56:12:00 Cathartics

Therapeutic Note

NO

ATC Code

A06AB58

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02317966	Purg-Odan	12.3500	12.3500
02254794	Pico-Salax	14.5808	12.3500

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph