Product Details

M-Diltiazem CD

Diltiazem HCl
120 mg
LA Capsule


DIN/PIN/NPN

02546086

Manufacturer

Mantra Pharma Inc.

Formulary Listing Date

2024-10-31  

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
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph