Product Details

PMS-Zolpidem ODT

Zolpidem Tartrate
5 mg
SL Tablet

DIN/PIN/NPN

02436175

Manufacturer

Pharmascience Inc.

Formulary Listing Date

2017-02-28

Unit Price

1.1827

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

28:24:00 Sedatives and Hypnotics

Therapeutic Note

NO

ATC Code

N05CF02

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02391678	Sublinox	NA	NA
02436175	PMS-Zolpidem ODT	1.1827	NA
02472821	Mint-Zolpidem ODT	1.1827	NA
02436159	Apo-Zolpidem ODT	1.1825	NA
02540592	Jamp Zolpidem ODT	1.1827	NA

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph