Product Details

Co Diltiazem T

Diltiazem HCl
240 mg
SR Capsule


DIN/PIN/NPN

02370506

Manufacturer

Cobalt Pharmaceuticals Company

Formulary Listing Date

2012-01-19  

Unit Price

0.3832

Amount MOH Pays

0.3832

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
02231152 Tiazac 2.0825 0.3832
02271621 Teva-Diltiazem HCL ER 0.3832 0.3832
02245920 Sandoz Diltiazem T 0.3832 0.3832
02465388 Mar-Diltiazem T 0.3832 0.3832
02495392 Jamp Diltiazem T 0.3832 0.3832
02370506 Co Diltiazem T 0.3832 0.3832
02516136 Diltiazem T 0.3832 0.3832
02546450 M-Diltiazem T 0.3832 0.3832
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph