Product Details

AA-Diltiaz

Diltiazem HCl
30 mg
Tablet

DIN/PIN/NPN

00771376

Manufacturer

A A Pharma Inc.

Formulary Listing Date

1996-10-01

Unit Price

0.1866

Amount MOH Pays

0.1866

Coverage Status

General Benefit Chronic-Use Medication

ODB Formulary Therapeutic Classification

24:04:00 Cardiac Drugs

Therapeutic Note

NO

ATC Code

C08DB01

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
00862924	Teva-Diltazem	0.1866	0.1866
02097370	Cardizem	NA	NA
00771376	AA-Diltiaz	0.1866	0.1866

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph