Product Details

Jamp Alprazolam

Alprazolam
2 mg
Tablet


DIN/PIN/NPN

02434644

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2022-03-31  

Unit Price

0.5508

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N05BA12

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00813958 Xanax TS NA NA
02417669 Nat-Alprazolam 0.5508 NA
02434644 Jamp Alprazolam 0.5508 NA
02243612 Apo-Alpraz TS 0.9271 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph