Product Details
Tiazac XC
Diltiazem HCl360 mg
ER Tablet
DIN/PIN/NPN
02256770
Manufacturer
Biovail Pharmaceuticals Canada
Formulary Listing Date
2005-05-25
Unit Price
1.8880
Amount MOH Pays
1.2211
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 |
|---|---|---|---|
| 02256770 | Tiazac XC | 1.8880 | 1.2211 |
| 02429357 | Teva-Diltiazem XC | 1.2211 | 1.2211 |
LU Clinical Criteria
NORequirements
NA