Product Details

Apo-Mycophenolic Acid

Mycophenolate Sodium
180 mg
Enteric Coated Tablet


DIN/PIN/NPN

02372738

Manufacturer

Apotex Inc.

Formulary Listing Date

2014-07-30  

Unit Price

0.4994

Amount MOH Pays

0.4994

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

L04AA06

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02264560 Myfortic 1.9977 0.4994
02511673 Mar-Mycophenolic Acid 0.4994 0.4994
02372738 Apo-Mycophenolic Acid 0.4994 0.4994
02518538 Jamp Mycophenolic Acid 0.4994 0.4994
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph