Product Details
Tiazac XC
Diltiazem HCl180 mg
ER Tablet
DIN/PIN/NPN
02256746
Manufacturer
Biovail Pharmaceuticals Canada
Formulary Listing Date
2005-05-25
Unit Price
1.4218
Amount MOH Pays
0.9195
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 |
|---|---|---|---|
| 02256746 | Tiazac XC | 1.4218 | 0.9195 |
| 02429322 | Teva-Diltiazem XC | 0.9195 | 0.9195 |
LU Clinical Criteria
NORequirements
NA