Product Details
Diltiazem T
Diltiazem HCl180 mg
SR Capsule
DIN/PIN/NPN
02516128
Manufacturer
Sanis Health Inc.
Formulary Listing Date
2021-12-17
Unit Price
0.2889
Amount MOH Pays
0.2889
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 |
|---|---|---|---|
| 02231151 | Tiazac | 1.5701 | 0.2889 |
| 02271613 | Teva-Diltiazem HCL ER | 0.2889 | 0.2889 |
| 02245919 | Sandoz Diltiazem T | 0.2889 | 0.2889 |
| 02465361 | Mar-Diltiazem T | 0.2889 | 0.2889 |
| 02495384 | Jamp Diltiazem T | 0.2889 | 0.2889 |
| 02370492 | Co Diltiazem T | 0.2889 | 0.2889 |
| 02516128 | Diltiazem T | 0.2889 | 0.2889 |
| 02546442 | M-Diltiazem T | 0.2889 | 0.2889 |