Product Details

Valsartan HCT

Valsartan + Hydrochlorothiazide
320 mg + 25 mg
Tablet

DIN/PIN/NPN

02367041

Manufacturer

Sanis Health Inc.

Formulary Listing Date

2020-10-30

Unit Price

0.2231

Amount MOH Pays

0.2231

Coverage Status

General Benefit Chronic-Use Medication

ODB Formulary Therapeutic Classification

24:08:00 Hypotensive Drugs (for Diuretics see 40:28)

Therapeutic Note

NO

ATC Code

C09DA03

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02367041	Valsartan HCT	0.2231	0.2231
02357046	Teva-Valsartan/HCTZ	0.2231	0.2231
02356732	Sandoz Valsartan HCT	0.2231	0.2231
02308916	Diovan-HCT	1.4953	0.2231
02408155	Auro-Valsartan HCT	0.2231	0.2231
02382598	Apo-Valsartan/HCTZ	0.2231	0.2231

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph