Product Details

Zestoretic

Lisinopril + Hydrochlorothiazide
10 mg + 12.5 mg
Tablet


DIN/PIN/NPN

02103729

Manufacturer

AstraZeneca

Formulary Listing Date

1996-10-01  

Unit Price

0.9286

Amount MOH Pays

0.2084

Coverage Status

General Benefit Chronic-Use Medication

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

C09BA03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02103729 Zestoretic 0.9286 0.2084
02301768 Teva-Lisinopril/HCTZ (Type Z) 0.2084 0.2084
02302365 Sandoz Lisinopril HCT 0.2084 0.2084
02362945 Lisinopril/HCTZ (Type Z) 0.2084 0.2084
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph