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

0.2750

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
00024333 Sinequan 0.5000 0.2750
02559099 Mar-Doxepin 0.2750 0.2750
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph