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WEBDIN/PIN/NPN. Search for Products that. begin with Keyword entered. Generic/Brand name. Summary List. Some drug products not listed on the Formulary …

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URL: https://www.formulary.health.gov.on.ca/formulary/

Formulary Search

WEBYou can sort your results in ascending / descending order by clicking on the column headings, with the exception of Therapeutic Notes.

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WEBLimited Use Note (s) Reason For Use Code. Clinical Criteria. 548. - As adjunctive therapy in the treatment of patients with partial-onset seizures (POS) who …

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WEBInterchangeables: NO: Manufacturer: Amgen Canada Inc. Formulary Listing Date: 2018-04-30: Drug Benefit Price or Unit Price: 284.8300: Amount MOH Pays: …

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WEBLimited Use Note (s) Reason For Use Code. Clinical Criteria. 397. For male patients with confirmed low morning serum testosterone levels associated with …

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WEBRuxience (RITUXIMAB) 10mg/mL Inj Sol-Vial (Preservative-Free). DIN/PIN/NPN: 02495724 New Search

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WEBFormulary Listing Date: 2021-04-30. Drug Benefit Price or Unit Price: 10.1947. Amount MOH Pays: 10.1947. Coverage Status: Off-Formulary …

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WEB68:00 hormones and substitutes: 68:32:00 progestogens and oral contraceptives: yaz (drospirenone & ethinyl estradiol) 3.0mg & 0.02mg tab-28 pk

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WEBLimited Use Note (s) Reason For Use Code. Clinical Criteria. 235. For the treatment of vaginal candidiasis. Dose: 150mg orally once daily for 1 day. NOTE: …

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WEB20:00 blood formation and coagulation: 20:12:00 coagulants and anti-coagulants: lu criteria text

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WEBLimited Use Note (s) Reason For Use Code. Clinical Criteria. 433. For the prevention of venous thromboembolic events in patients who have undergone elective …

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WEBLimited Use Note (s) For the prevention of stroke and systemic embolism in at-risk patients who have non-valvular atrial fibrillation (AF) AND in whom: 1) …

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WEBFormulary Listing Date: 2019-09-30. Drug Benefit Price or Unit Price: 210.8700. Amount MOH Pays: 210.8700. Coverage Status: Limited Use Product. Insulin …

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WEBTherapy must be prescribed by a rheumatologist or a physician with expertise in rheumatology. Approvals will only allow for standard dosing for adalimumab. The …

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WEBLimited Use Note (s) Reason For Use Code. Clinical Criteria. For patients with: 183. a) NYHA Class II or III Congestive Heart Failure (CHF); and b) Currently being treated with …

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WEBAstellas Pharma Canada Inc. Formulary Listing Date: 2015-05-28. Drug Benefit Price or Unit Price: 1.4600. Amount MOH Pays: 1.4600. Coverage Status: …

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WEBFormulary Search - Limited Use Note (s) Reason For Use Code. Clinical Criteria. 293. Gastroesophageal Reflux Disease (GERD) For the treatment of erosive …

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WEBInterchangeables: NO: Manufacturer: AbbVie Corporation: Formulary Listing Date: 1996-10-01: Drug Benefit Price or Unit Price: 374.8500: Amount MOH Pays: …

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