Product Details

PMS-Losartan-HCTZ

Losartan Potassium + Hydrochlorothiazide
100 mg + 12.5 mg
Tablet


DIN/PIN/NPN

02392232

Manufacturer

Pharmascience Inc.

Formulary Listing Date

2012-10-30  

Unit Price

0.3082

Amount MOH Pays

0.3082

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
02377144 Teva-Losartan/HCTZ 0.3082 0.3082
02362449 Sandoz Losartan HCT 0.3082 0.3082
02392232 PMS-Losartan-HCTZ 0.3082 0.3082
02389665 Mint-Losartan/HCTZ 0.3082 0.3082
02427656 Losartan/HCTZ 0.3082 0.3082
02388979 Losartan HCT 0.3082 0.3082
02297841 Hyzaar 1.9508 0.3082
02388278 Co Losartan/HCT 0.3082 0.3082
02423650 Auro-Losartan HCT 0.3082 0.3082
02371243 Apo-Losartan/HCTZ 0.3082 0.3082
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph