Product Details

AA-Amilzide

Amiloride HCl + Hydrochlorothiazide
5 mg + 50 mg
Tablet


DIN/PIN/NPN

00784400

Manufacturer

A A Pharma Inc.

Formulary Listing Date

1996-10-01  

Unit Price

0.0969

Amount MOH Pays

0.0969

Coverage Status

General Benefit Chronic-Use Medication

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

C03EA01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
00487813 Moduret NA NA
00784400 AA-Amilzide 0.0969 0.0969
 

LU Clinical Criteria

NO  

Requirements


EAP Criteria

  NO

Product Monograph

View Monograph