Product Details
Diltiazem T
Diltiazem HCl240 mg
SR Capsule
DIN/PIN/NPN
02516136
Manufacturer
Sanis Health Inc.
Formulary Listing Date
2021-12-17
Unit Price
0.3832
Amount MOH Pays
0.3832
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 |
|---|---|---|---|
| 02231152 | Tiazac | 2.0825 | 0.3832 |
| 02271621 | Teva-Diltiazem HCL ER | 0.3832 | 0.3832 |
| 02245920 | Sandoz Diltiazem T | 0.3832 | 0.3832 |
| 02465388 | Mar-Diltiazem T | 0.3832 | 0.3832 |
| 02495392 | Jamp Diltiazem T | 0.3832 | 0.3832 |
| 02370506 | Co Diltiazem T | 0.3832 | 0.3832 |
| 02516136 | Diltiazem T | 0.3832 | 0.3832 |
| 02546450 | M-Diltiazem T | 0.3832 | 0.3832 |