Product Details

Mar-Diltiazem T

Diltiazem HCl
360 mg
SR Capsule


DIN/PIN/NPN

02465418

Manufacturer

Marcan Pharmaceuticals Inc.

Formulary Listing Date

2018-08-30  

Unit Price

0.5778

Amount MOH Pays

0.5778

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
02231155 Tiazac 3.1401 0.5778
02271656 Teva-Diltiazem HCL ER 0.5778 0.5778
02245922 Sandoz Diltiazem T 0.5778 0.5778
02465418 Mar-Diltiazem T 0.5778 0.5778
02495414 Jamp Diltiazem T 0.5778 0.5778
02370522 Co Diltiazem T 0.5778 0.5778
02516152 Diltiazem T 0.5778 0.5778
02546477 M-Diltiazem T 0.5778 0.5778
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph