Product Details

Co Diltiazem CD

Diltiazem HCl
180 mg
LA Capsule


DIN/PIN/NPN

02370638

Manufacturer

Cobalt Pharmaceuticals Company

Formulary Listing Date

2012-01-19  

Unit Price

0.4824

Amount MOH Pays

0.4824

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
02242539 Teva-Diltazem CD 0.4824 0.4824
02243339 Sandoz Diltiazem CD 0.4824 0.4824
02355760 PMS-Diltiazem CD 0.4824 0.4824
02484072 Mar-Diltiazem CD 0.4824 0.4824
02446006 Diltiazem CD 0.4824 0.4824
02370638 Co Diltiazem CD 0.4824 0.4824
02097257 Cardizem CD 2.1565 0.4824
02230998 Apo-Diltiaz CD 0.4824 0.4824
02400448 Diltiazem CD 0.4824 0.4824
02528045 Jamp Diltiazem CD 0.4824 0.4824
02546094 M-Diltiazem CD 0.4824 0.4824
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph