Product Details
Imitrex
Sumatriptan Succinate100 mg
Tablet
DIN/PIN/NPN
01950614
Manufacturer
GlaxoSmithKline Inc., GlaxoSmithKline Consumer Health Care
Formulary Listing Date
2007-06-06
Unit Price
NA
Amount MOH Pays
NA
Coverage Status
Off-Formulary Interchangeable
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
N02CC01
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02286548 | Sumatriptan | 9.9867 | 9.9867 |
| 02263033 | Sandoz Sumatriptan | 9.9867 | 9.9867 |
| 02271591 | Ratio-Sumatriptan | 9.9867 | 9.9867 |
| 02256444 | PMS-Sumatriptan | 9.9867 | 9.9867 |
| 02268922 | Mylan-Sumatriptan | 9.9867 | 9.9867 |
| 01950614 | Imitrex | NA | NA |
| 02257904 | Co Sumatriptan | 9.9867 | 9.9867 |
| 02268396 | Apo-Sumatriptan | 9.9867 | 9.9867 |
| 02546043 | Sumatriptan | 9.9867 | 9.9867 |