Product Details
Mint-Hydroxychloroquine
Hydroxychloroquine Sulfate200 mg
Tablet
DIN/PIN/NPN
02424991
Manufacturer
Mint Pharmaceuticals Inc.
Formulary Listing Date
2016-04-29
Unit Price
0.1576
Amount MOH Pays
0.1576
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
P01BA02
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02017709 | Plaquenil | 0.6516 | 0.1576 |
| 02424991 | Mint-Hydroxychloroquine | 0.1576 | 0.1576 |
| 02491427 | Jamp-Hydroxychloroquine | 0.1576 | 0.1576 |
| 02246691 | Apo-Hydroxyquine | 0.1576 | 0.1576 |
| 02519348 | Hydroxychloroquine | 0.1576 | 0.1576 |
| 02511886 | NRA-Hydroxychloroquine | 0.1576 | 0.1576 |