Product Details

Doxycycline Tablets

Doxycycline Hyclate
100 mg
Tablet


DIN/PIN/NPN

02351242

Manufacturer

Sanis Health Inc.

Formulary Listing Date

2011-09-15  

Unit Price

0.4560

Amount MOH Pays

0.4560

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

J01AA02

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00578452 Vibra-Tabs NA NA
02158574 Teva-Doxycycline 0.4560 0.4560
02351242 Doxycycline Tablets 0.4560 0.4560
00874256 Apo-Doxy-Tabs 0.4560 0.4560
02536250 PRZ-Doxycycline 0.4560 0.4560
02543478 M-Doxycycline 0.4560 0.4560
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph