Product Details
Jamp Doxepin
Doxepin HCl10 mg
Capsule
DIN/PIN/NPN
02559250
Manufacturer
Jamp Pharma Corporation
Formulary Listing Date
2026-07-31
Unit Price
0.1019
Amount MOH Pays
0.1019
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 |
|---|---|---|---|
| 00024325 | Sinequan | 0.4075 | 0.1019 |
| 02559080 | Mar-Doxepin | 0.1019 | 0.1019 |
| 02049996 | Apo-Doxepin | 0.1019 | 0.1019 |
| 02559250 | Jamp Doxepin | 0.1019 | 0.1019 |
LU Clinical Criteria
NORequirements