Product Details

PMS-Doxylamine-Pyridoxine

Doxylamine Succinate + Pyridoxine HCl
10 mg + 10 mg
SR Tablet

DIN/PIN/NPN

02406187

Manufacturer

Pharmascience Inc.

Formulary Listing Date

2017-09-28

Unit Price

0.6402

Amount MOH Pays

0.6402

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

56:22:00 Antiemetics and Antinauseants

Therapeutic Note

NO

ATC Code

R06AA59

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02406187	PMS-Doxylamine-Pyridoxine	0.6402	0.6402
00609129	Diclectin	1.2803	0.6402
02413248	Apo-Doxylamine/B6	0.6402	0.6402

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph