Product Details
Diltiazem T
Diltiazem HCl120 mg
SR Capsule
DIN/PIN/NPN
02516101
Manufacturer
Sanis Health Inc.
Formulary Listing Date
2021-12-17
Unit Price
0.2133
Amount MOH Pays
0.2133
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 |
|---|---|---|---|
| 02231150 | Tiazac | 1.1753 | 0.2133 |
| 02271605 | Teva-Diltiazem HCL ER | 0.2133 | 0.2133 |
| 02245918 | Sandoz Diltiazem T | 0.2133 | 0.2133 |
| 02465353 | Mar-Diltiazem T | 0.2133 | 0.2133 |
| 02495376 | Jamp Diltiazem T | 0.2133 | 0.2133 |
| 02370441 | Co Diltiazem T | 0.2133 | 0.2133 |
| 02516101 | Diltiazem T | 0.2133 | 0.2133 |
| 02546434 | M-Diltiazem T | 0.2133 | 0.2133 |