Product Details

Mar-Doxepin

Doxepin HCl
25 mg
Capsule


DIN/PIN/NPN

02559099

Manufacturer

Marcan Pharmaceuticals Inc.

Formulary Listing Date

2025-09-29  

Unit Price

0.2500

Amount MOH Pays

0.2500

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
00024333 Sinequan 0.5000 0.2500
02559099 Mar-Doxepin 0.2500 0.2500
02050005 Apo-Doxepin 0.2500 0.2500
 

LU Clinical Criteria

NO  

Requirements


EAP Criteria

  NO

Product Monograph

View Monograph