Product Details

Diltiazem CD

Diltiazem HCl
240 mg
LA Capsule


DIN/PIN/NPN

02400456

Manufacturer

Sanis Health Inc.

Formulary Listing Date

2022-07-29  

Unit Price

0.6399

Amount MOH Pays

0.6399

Coverage Status

General Benefit Chronic-Use Medication

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

C08DB01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02242540 Teva-Diltazem CD 0.6399 0.6399
02243340 Sandoz Diltiazem CD 0.6399 0.6399
02355779 PMS-Diltiazem CD 0.6399 0.6399
02484080 Mar-Diltiazem CD 0.6399 0.6399
02446014 Diltiazem CD 0.6399 0.6399
02370646 Co Diltiazem CD 0.6399 0.6399
02097265 Cardizem CD 2.8604 0.6399
02230999 Apo-Diltiaz CD 0.6399 0.6399
02400456 Diltiazem CD 0.6399 0.6399
02528053 Jamp Diltiazem CD 0.6399 0.6399
02546108 M-Diltiazem CD 0.6399 0.6399
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph