Product Details

Altace HCT

Ramipril + Hydrochlorothiazide
5 mg + 25 mg
Tablet

DIN/PIN/NPN

02283174

Manufacturer

Sanofi Aventis Pharma

Formulary Listing Date

2007-06-06

Unit Price

0.4981

Amount MOH Pays

0.2872

Coverage Status

General Benefit Chronic-Use Medication

ODB Formulary Therapeutic Classification

24:08:00 Hypotensive Drugs (for Diuretics see 40:28)

Therapeutic Note

NO

ATC Code

C09BA05

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02449463	Ran-Ramipril HCTZ	0.2872	0.2872
02283174	Altace HCT	0.4981	0.2872

LU Clinical Criteria

NO

Requirements

NA

EAP Criteria

NO

Product Monograph