Product Details

Jamp Doxepin Tablets

Doxepin HCl
6 mg
Tablet


DIN/PIN/NPN

02551349

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2026-10-30  

Unit Price

1.2319

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N06AA12

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02551349 Jamp Doxepin Tablets 1.2319 NA
02398265 Silenor NA NA
 

LU Clinical Criteria

NO  

Requirements


EAP Criteria

  NO

Product Monograph

View Monograph