Product Details

Sinequan

Doxepin HCl
10 mg
Capsule


DIN/PIN/NPN

00024325

Manufacturer

A A Pharma Inc.

Formulary Listing Date

1996-10-01  

Unit Price

0.4075

Amount MOH Pays

0.2241

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 0.2241
02559080 Mar-Doxepin 0.2241 0.2241
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph