Product Details

PMS-Hydrochlorothiazide

Hydrochlorothiazide
12.5 mg
Tablet


DIN/PIN/NPN

02274086

Manufacturer

Pharmascience Inc.

Formulary Listing Date

2010-04-23  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Off-Formulary Interchangeable

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

C03AA03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02274086 PMS-Hydrochlorothiazide NA NA
02425947 Mint-Hydrochlorothiazide 0.0322 NA
02327856 Apo-Hydro 0.0322 NA
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph