Product Details

Mint-Zolpidem ODT

Zolpidem Tartrate
10 mg
SL Tablet

DIN/PIN/NPN

02472848

Manufacturer

Mint Pharmaceuticals Inc.

Formulary Listing Date

2021-09-30

Unit Price

1.1883

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

28:24:00 Sedatives and Hypnotics

Therapeutic Note

NO

ATC Code

N05CF02

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02370433	Sublinox	NA	NA
02436183	PMS-Zolpidem ODT	1.1883	NA
02472848	Mint-Zolpidem ODT	1.1883	NA
02434946	Apo-Zolpidem ODT	1.1884	NA
02540606	Jamp Zolpidem ODT	1.1883	NA

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph