Product Details
Desipramine
Desipramine25 mg
Tablet
DIN/PIN/NPN
02216256
Manufacturer
A A Pharma Inc.
Formulary Listing Date
1996-12-19
Unit Price
0.4345
Amount MOH Pays
0.4345
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
N06AA01
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 00010448 | Pertofrane | NA | NA |
| 02099128 | Norpramin | NA | NA |
| 02216256 | Desipramine | 0.4345 | 0.4345 |
LU Clinical Criteria
NORequirements
NA