Product Details

Jamp Zolpidem ODT

Zolpidem Tartrate
5 mg
SL Tablet


DIN/PIN/NPN

02540592

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2024-04-30  

Unit Price

1.1827

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N05CF02

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02391678 Sublinox NA NA
02436175 PMS-Zolpidem ODT 1.1827 NA
02472821 Mint-Zolpidem ODT 1.1827 NA
02436159 Apo-Zolpidem ODT 1.1825 NA
02540592 Jamp Zolpidem ODT 1.1827 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph