DALTEPARIN SODIUM Ontario LU Codes and Criteria

Drug list

BLOOD FORMATION AND COAGULATION › COAGULANTS AND ANTI-COAGULANTS

DALTEPARIN SODIUM (Fragmin)

10000IU/0.4mL12500IU/0.5mL15000IU/0.6mL16500IU/0.66mL18000IU/0.72mL25000IU/mLInj Pref SyrInj Pref Syr-0.66mL PkMultidose 3.8mL Pk

LU186

QUICK SCAN

For acute treatment of deep venous thrombosis (DVT), for a maximum of three weeks;

Complete Ontario criteria

For acute treatment of deep venous thrombosis (DVT), for a maximum of three weeks;

LU187

QUICK SCAN

For DVT in pregnant or lactating females;

Complete Ontario criteria

For DVT in pregnant or lactating females;

LU188

QUICK SCAN

For DVT in patients whom treatment with warfarin is not tolerated, or contraindicated;

Complete Ontario criteria

For DVT in patients whom treatment with warfarin is not tolerated, or contraindicated;

LU189

QUICK SCAN

For DVT in patients who have failed treatment with warfarin.

Complete Ontario criteria

For DVT in patients who have failed treatment with warfarin.