Product Details

AA-Diltiaz

Diltiazem HCl
60 mg
Tablet


DIN/PIN/NPN

00771384

Manufacturer

A A Pharma Inc.

Formulary Listing Date

1996-10-01  

Unit Price

0.3802

Amount MOH Pays

0.3802

Coverage Status

General Benefit Chronic-Use Medication

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

C08DB01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02097389 Cardizem NA NA
00771384 AA-Diltiaz 0.3802 0.3802
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph