Product Details

Lisinopril/HCTZ (Type Z)

Lisinopril + Hydrochlorothiazide
20 mg + 25 mg
Tablet


DIN/PIN/NPN

02362961

Manufacturer

Sanis Health Inc.

Formulary Listing Date

2011-12-15  

Unit Price

0.7011

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

C09BA03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02045729 Zestoretic NA NA
02301784 Teva-Lisinopril/HCTZ (Type Z) 0.7011 NA
02302381 Sandoz Lisinopril HCT 0.7011 NA
02362961 Lisinopril/HCTZ (Type Z) 0.7011 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph