Product Details

Dyazide

Hydrochlorothiazide + Triamterene
25 mg + 50 mg
Tablet


DIN/PIN/NPN

01919547

Manufacturer

Smith Kline Beecham Pharma Inc.

Formulary Listing Date

1996-10-01  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit Chronic-Use Medication

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

C03EA01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00532657 Teva-Triamterene/HCTZ 0.0608 0.0608
01919547 Dyazide NA NA
00441775 Apo-Triazide 0.0608 0.0608
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph