Product Details

Avalide

Irbesartan + Hydrochlorothiazide
300 mg + 12.5 mg
Tablet


DIN/PIN/NPN

02241819

Manufacturer

Sanofi Aventis Pharma

Formulary Listing Date

2001-03-07  

Unit Price

1.3166

Amount MOH Pays

0.2281

Coverage Status

General Benefit Chronic-Use Medication

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

C09DA04

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02330520 Teva-Irbesartan HCTZ 0.2281 0.2281
02337436 Sandoz Irbesartan HCT 0.2281 0.2281
02363216 Ran-Irbesartan HCTZ 0.2281 0.2281
02328526 PMS-Irbesartan-HCTZ 0.2281 0.2281
02393018 Mint Irbesartan/HCTZ 0.2281 0.2281
02418231 Jamp-Irbesartan and Hydrochlorothiazide 0.2281 0.2281
02372894 Irbesartan/HCTZ 0.2281 0.2281
02385325 Irbesartan HCT 0.2281 0.2281
02357402 Co Irbesartan/HCT 0.2281 0.2281
02241819 Avalide 1.3166 0.2281
02447886 Auro-Irbesartan HCT 0.2281 0.2281
02387654 Apo-Irbesartan/HCTZ 0.2281 0.2281
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph