Product Details

Jamp Sumatriptan

Sumatriptan Succinate
100 mg
Tablet


DIN/PIN/NPN

02545365

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2024-12-30  

Unit Price

9.9866

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N02CC01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02286548 Sumatriptan 9.9867 9.9867
02263033 Sandoz Sumatriptan 9.9867 9.9867
02271591 Ratio-Sumatriptan 9.9867 9.9867
02256444 PMS-Sumatriptan 9.9867 9.9867
02268922 Mylan-Sumatriptan 9.9867 9.9867
01950614 Imitrex NA NA
02257904 Co Sumatriptan 9.9867 9.9867
02268396 Apo-Sumatriptan 9.9867 9.9867
02546043 Sumatriptan 9.9867 9.9867
02545365 Jamp Sumatriptan 9.9866 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph