Product Details

Jamp Diltiazem T

Diltiazem HCl
180 mg
SR Capsule


DIN/PIN/NPN

02495384

Manufacturer

Jamp Pharma Corporation

Formulary Listing Date

2020-11-30  

Unit Price

0.2889

Amount MOH Pays

0.2889

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
02231151 Tiazac 1.5701 0.2889
02271613 Teva-Diltiazem HCL ER 0.2889 0.2889
02245919 Sandoz Diltiazem T 0.2889 0.2889
02465361 Mar-Diltiazem T 0.2889 0.2889
02495384 Jamp Diltiazem T 0.2889 0.2889
02370492 Co Diltiazem T 0.2889 0.2889
02516128 Diltiazem T 0.2889 0.2889
02546442 M-Diltiazem T 0.2889 0.2889
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph