Product Details

Jamp Alprazolam

Alprazolam
1 mg
Tablet


DIN/PIN/NPN

02434636

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2022-03-31  

Unit Price

0.3099

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
00723770 Xanax NA NA
02417650 Nat-Alprazolam 0.3099 NA
02434636 Jamp Alprazolam 0.3099 NA
02243611 Apo-Alpraz 0.4603 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph