Product Details

Valsartan HCT

Valsartan + Hydrochlorothiazide
320 mg + 12.5 mg
Tablet


DIN/PIN/NPN

02367033

Manufacturer

Sanis Health Inc.

Formulary Listing Date

2020-10-30  

Unit Price

0.2235

Amount MOH Pays

0.2235

Coverage Status

General Benefit Chronic-Use Medication

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

C09DA03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02384760 Valsartan HCT 0.2235 0.2235
02367033 Valsartan HCT 0.2235 0.2235
02357038 Teva-Valsartan/HCTZ 0.2235 0.2235
02356724 Sandoz Valsartan HCT 0.2235 0.2235
02308908 Diovan-HCT 1.4978 0.2235
02408147 Auro-Valsartan HCT 0.2235 0.2235
02382571 Apo-Valsartan/HCTZ 0.2235 0.2235
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph