Product Details
Jamp Diltiazem CD
Diltiazem HCl120 mg
LA Capsule
DIN/PIN/NPN
02528037
Manufacturer
Jamp Pharma Corporation
Formulary Listing Date
2023-01-31
Unit Price
0.3634
Amount MOH Pays
0.3634
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 |
|---|---|---|---|
| 02242538 | Teva-Diltazem CD | 0.3634 | 0.3634 |
| 02243338 | Sandoz Diltiazem CD | 0.3634 | 0.3634 |
| 02355752 | PMS-Diltiazem CD | 0.3634 | 0.3634 |
| 02484064 | Mar-Diltiazem CD | 0.3634 | 0.3634 |
| 02445999 | Diltiazem CD | 0.3634 | 0.3634 |
| 02370611 | Co Diltiazem CD | 0.3634 | 0.3634 |
| 02097249 | Cardizem CD | 1.6244 | 0.3634 |
| 02230997 | Apo-Diltiaz CD | 0.3634 | 0.3634 |
| 02400421 | Diltiazem CD | 0.3634 | 0.3634 |
| 02528037 | Jamp Diltiazem CD | 0.3634 | 0.3634 |
| 02546086 | M-Diltiazem CD | 0.3634 | 0.3634 |