Product Details

Ach-Olmesartan HCTZ

Olmesartan Medoxomil + Hydrochlorothiazide
40 mg + 25 mg
Tablet


DIN/PIN/NPN

02468964

Manufacturer

Accord Healthcare Inc.

Formulary Listing Date

2019-08-30  

Unit Price

0.3019

Amount MOH Pays

0.3019

Coverage Status

General Benefit Chronic-Use Medication

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

C09DA08

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02319632 Olmetec Plus 1.3327 0.3019
02509628 Olmesartan/HCTZ 0.3019 0.3019
02508303 NRA-Olmesartan HCTZ 0.3019 0.3019
02475723 GLN-Olmesartan HCTZ 0.3019 0.3019
02476509 Auro-Olmesartan HCTZ 0.3019 0.3019
02453622 Apo-Olmesartan/HCTZ 0.3019 0.3019
02443139 Act Olmesartan HCT 0.3019 0.3019
02468964 Ach-Olmesartan HCTZ 0.3019 0.3019
02526484 PRZ-Olmesartan/HCTZ 0.3019 0.3019
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph