Product Details
Mar-Doxepin
Doxepin HCl50 mg
Capsule
DIN/PIN/NPN
02559102
Manufacturer
Marcan Pharmaceuticals Inc.
Formulary Listing Date
2025-09-29
Unit Price
0.2319
Amount MOH Pays
0.2319
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 |
|---|---|---|---|
| 00024341 | Sinequan | 0.9274 | 0.2319 |
| 02559102 | Mar-Doxepin | 0.2319 | 0.2319 |
| 02050013 | Apo-Doxepin | 0.2319 | 0.2319 |
| 02559277 | Jamp Doxepin | 0.2319 | 0.2319 |
LU Clinical Criteria
NORequirements
NA