Product Details

M-Diltiazem T

Diltiazem HCl
300 mg
SR Capsule


DIN/PIN/NPN

02546469

Manufacturer

Mantra Pharma Inc.

Formulary Listing Date

2024-10-31  

Unit Price

0.4720

Amount MOH Pays

0.4720

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
02231154 Tiazac 2.6082 0.4720
02271648 Teva-Diltiazem HCL ER 0.4720 0.4720
02245921 Sandoz Diltiazem T 0.4720 0.4720
02465396 Mar-Diltiazem T 0.4720 0.4720
02495406 Jamp Diltiazem T 0.4720 0.4720
02370514 Co Diltiazem T 0.4720 0.4720
02516144 Diltiazem T 0.4720 0.4720
02546469 M-Diltiazem T 0.4720 0.4720
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph