Product Details
Med-Exemestane
Exemestane25 mg
Tablet
DIN/PIN/NPN
02407841
Manufacturer
Generic Medical Partners Inc.
Formulary Listing Date
2014-01-30
Unit Price
3.1232
Amount MOH Pays
3.1232
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
L02BG06
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02407841 | Med-Exemestane | 3.1232 | 3.1232 |
| 02390183 | Act Exemestane | 3.1232 | 3.1232 |
| 02242705 | Aromasin | 6.2463 | 3.1232 |
LU Clinical Criteria
NORequirements