Product Details

PMS-Hydrochlorothiazide

Hydrochlorothiazide
50 mg
Tablet


DIN/PIN/NPN

02247387

Manufacturer

Pharmascience Inc.

Formulary Listing Date

2007-09-04  

Unit Price

0.0217

Amount MOH Pays

0.0217

Coverage Status

General Benefit Chronic-Use Medication

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

C03AA03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00021482 Teva-Hydrochlorothiazide 0.0217 0.0217
02247387 PMS-Hydrochlorothiazide 0.0217 0.0217
00016519 HydroDIURIL NA NA
00312800 Apo-Hydro 50 0.0217 0.0217
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph