Product Details

Mint-Losartan/HCTZ DS

Losartan Potassium + Hydrochlorothiazide
100 mg + 25 mg
Tablet


DIN/PIN/NPN

02389673

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
02377152 Teva-Losartan/HCTZ 0.3148 0.3147
02428547 Septa-Losartan HCTZ 0.3147 0.3147
02313383 Sandoz Losartan HCT DS 0.3147 0.3147
02392240 PMS-Losartan-HCTZ 0.3147 0.3147
02389673 Mint-Losartan/HCTZ DS 0.3147 0.3147
02427664 Losartan/HCTZ 0.3147 0.3147
02388987 Losartan HCT 0.3147 0.3147
02408252 Jamp-Losartan HCTZ 0.3147 0.3147
02241007 Hyzaar DS 1.9924 0.3147
02388286 Co Losartan/HCT 0.3147 0.3147
02423669 Auro-Losartan HCT 0.3147 0.3147
02371251 Apo-Losartan/HCTZ 0.3148 0.3147
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph