Product Details

Diclectin

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


DIN/PIN/NPN

00609129

Manufacturer

Duchesnay Inc.

Formulary Listing Date

1996-10-01  

Unit Price

1.2803

Amount MOH Pays

0.6402

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

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