Product Details
Somatuline Autogel
Lanreotide Acetate60 mg/0.5 mL
ER Solution for Injection
0.5-mL Single-Use Prefilled Syringe
DIN/PIN/NPN
02283395
Manufacturer
Ipsen Limited
Formulary Listing Date
2008-11-04
Unit Price
1450.9198
Amount MOH Pays
760.0056
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
H01CB03
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02283395 | Somatuline Autogel | 1450.9198 | 760.0056 |
| 02555867 | Mytolac | 760.0056 | 760.0056 |
LU Clinical Criteria
NORequirements