Product Details
Sinequan
Doxepin HCl10 mg
Capsule
DIN/PIN/NPN
00024325
Manufacturer
A A Pharma Inc.
Formulary Listing Date
1996-10-01
Unit Price
0.4075
Amount MOH Pays
0.2038
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 |
|---|---|---|---|
| 00024325 | Sinequan | 0.4075 | 0.2038 |
| 02559080 | Mar-Doxepin | 0.2038 | 0.2038 |
| 02049996 | Apo-Doxepin | 0.2038 | 0.2038 |
LU Clinical Criteria
NORequirements