Product Details

Mint-Losartan/HCTZ

Losartan Potassium + Hydrochlorothiazide
50 mg + 12.5 mg
Tablet


DIN/PIN/NPN

02389657

Manufacturer

Mint Pharmaceuticals Inc.

Formulary Listing Date

2012-09-28  

Unit Price

0.3147

Amount MOH Pays

0.3147

Coverage Status

General Benefit Chronic-Use Medication

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

C09DA01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02358263 Teva-Losartan/HCTZ 0.3148 0.3147
02428539 Septa-Losartan HCTZ 0.3147 0.3147
02313375 Sandoz Losartan HCT 0.3147 0.3147
02392224 PMS-Losartan-HCTZ 0.3147 0.3147
02389657 Mint-Losartan/HCTZ 0.3147 0.3147
02427648 Losartan/HCTZ 0.3147 0.3147
02388960 Losartan HCT 0.3147 0.3147
02408244 Jamp-Losartan HCTZ 0.3147 0.3147
02230047 Hyzaar 1.9924 0.3147
02388251 Co Losartan/HCT 0.3147 0.3147
02423642 Auro-Losartan HCT 0.3147 0.3147
02371235 Apo-Losartan/HCTZ 0.3148 0.3147
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph