Product Details

Sinequan

Doxepin HCl
25 mg
Capsule

DIN/PIN/NPN

00024333

Manufacturer

A A Pharma Inc.

Formulary Listing Date

1996-10-01

Unit Price

0.5000

Amount MOH Pays

0.2500

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

28:16:04 Antidepressants

Therapeutic Note

NO

ATC Code

N06AA12

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
00024333	Sinequan	0.5000	0.2500
02559099	Mar-Doxepin	0.2500	0.2500
02050005	Apo-Doxepin	0.2500	0.2500

LU Clinical Criteria

NO

Requirements

EAP Criteria

NO

Product Monograph

View Monograph