Product Details

Sinequan

Doxepin HCl
50 mg
Capsule


DIN/PIN/NPN

00024341

Manufacturer

A A Pharma Inc.

Formulary Listing Date

1996-10-01  

Unit Price

0.9274

Amount MOH Pays

0.5101

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

N06AA12

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00024341 Sinequan 0.9274 0.5101
02559102 Mar-Doxepin 0.5101 0.5101
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph