captopril-hydrochlorothiazide (non-formulary)
Ace Inhibitor/HCTZ Combo Products (as of 7/2023)
Medication Ordered
Brand Name
Dosage form
ERX
Dose and Frequency
Formulary Medication
Dosage Form
Captopril/Hydrochlorothiazide (25mg/15mg)
Capozide
Tablets
9395
1 tablet Daily
Lisinopril
9402
25mg Daily
Hydrochlorothiazide
76988
12.5mg Daily
Captopril/Hydrochlorothiazide (25mg/25mg)
9396
3720
Captopril/Hydrochlorothiazide (50mg/15mg)
9397
50mg Daily
Captopril/Hydrochlorothiazide (50mg/25mg)
9398
Ace Inhibitor/HCTZ Combo Products (as of 7/2023)
Medication Ordered
Brand Name
Dosage form
ERX
Dose and Frequency
Formulary Medication
Dosage Form
ERX
Dose and Frequency
Captopril/Hydrochlorothiazide (25mg/15mg)
Capozide
Tablets
9395
1 tablet Daily
Lisinopril
Tablets
9402
25mg Daily
Hydrochlorothiazide
76988
12.5mg Daily
Captopril/Hydrochlorothiazide (25mg/25mg)
Capozide
Tablets
9396
1 tablet Daily
Lisinopril
Tablets
9402
25mg Daily
Hydrochlorothiazide
3720
25mg Daily
Captopril/Hydrochlorothiazide (50mg/15mg)
Capozide
Tablets
9397
1 tablet Daily
Lisinopril
Tablets
9402
50mg Daily
Hydrochlorothiazide
76988
12.5mg Daily
Captopril/Hydrochlorothiazide (50mg/25mg)
Capozide
Tablets
9398
1 tablet Daily
Lisinopril
Tablets
9402
50mg Daily
Hydrochlorothiazide
3720
25mg Daily