Product Details

Jamp Sumatriptan DF

Sumatriptan Succinate
25 mg
Tablet


DIN/PIN/NPN

02545292

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2025-01-31  

Unit Price

8.9900

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
02286815 Teva-Sumatriptan DF 8.9900 NA
02239738 Imitrex DF NA NA
02545292 Jamp Sumatriptan DF 8.9900 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph