Product Details

Jamp Zolpidem ODT

Zolpidem Tartrate
10 mg
SL Tablet


DIN/PIN/NPN

02540606

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2024-04-30  

Unit Price

1.1883

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
02370433 Sublinox NA NA
02436183 PMS-Zolpidem ODT 1.1883 NA
02472848 Mint-Zolpidem ODT 1.1883 NA
02434946 Apo-Zolpidem ODT 1.1884 NA
02540606 Jamp Zolpidem ODT 1.1883 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph