Product Details
Diltiazem T
Diltiazem HCl360 mg
SR Capsule
DIN/PIN/NPN
02516152
Manufacturer
Sanis Health Inc.
Formulary Listing Date
2021-12-17
Unit Price
0.5778
Amount MOH Pays
0.5778
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 |
|---|---|---|---|
| 02231155 | Tiazac | 3.1401 | 0.5778 |
| 02271656 | Teva-Diltiazem HCL ER | 0.5778 | 0.5778 |
| 02245922 | Sandoz Diltiazem T | 0.5778 | 0.5778 |
| 02465418 | Mar-Diltiazem T | 0.5778 | 0.5778 |
| 02495414 | Jamp Diltiazem T | 0.5778 | 0.5778 |
| 02370522 | Co Diltiazem T | 0.5778 | 0.5778 |
| 02516152 | Diltiazem T | 0.5778 | 0.5778 |
| 02546477 | M-Diltiazem T | 0.5778 | 0.5778 |