Product Details

Valsartan HCT

Valsartan + Hydrochlorothiazide
160 mg + 25 mg
Tablet

DIN/PIN/NPN

02367025

Manufacturer

Sanis Health Inc.

Formulary Listing Date

2020-10-30

Unit Price

0.2238

Amount MOH Pays

0.2238

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
02384752	Valsartan HCT	0.2238	0.2238
02367025	Valsartan HCT	0.2238	0.2238
02357011	Teva-Valsartan/HCTZ	0.2238	0.2238
02356716	Sandoz Valsartan HCT	0.2238	0.2238
02246955	Diovan-HCT	1.5010	0.2238
02408139	Auro-Valsartan HCT	0.2238	0.2238
02382563	Apo-Valsartan/HCTZ	0.2238	0.2238

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph