Product Details
Tiazac XC
Diltiazem HCl240 mg
ER Tablet
DIN/PIN/NPN
02256754
Manufacturer
Biovail Pharmaceuticals Canada
Formulary Listing Date
2005-05-25
Unit Price
1.8882
Amount MOH Pays
1.2212
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 |
|---|---|---|---|
| 02256754 | Tiazac XC | 1.8882 | 1.2212 |
| 02429330 | Teva-Diltiazem XC | 1.2212 | 1.2212 |
LU Clinical Criteria
NORequirements
NA