All in on ARBs: Is it time to fold the ACEIs?

Philippe Phan; Benjamin Pham; Melanie Yang; Young Lee; Nicolas Dugré; Amélie Gravel

doi:10.46747/cfp.7203167

Review ArticleClinical Review

All in on ARBs

Is it time to fold the ACEIs?

Philippe Phan, Benjamin Pham, Melanie Yang, Young Lee, Nicolas Dugré and Amélie Gravel

Canadian Family Physician March 2026; 72 (3) 167-172; DOI: https://doi.org/10.46747/cfp.7203167

Philippe Phan

Pharmacist at Jean Coutu in Granby, Que, an independent clinical analyst contracted with Vigilance Santé, and a graduate diploma in clinical epidemiology candidate at McMaster University in Hamilton, Ont.

PharmD

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For correspondence: philippe.phan.1{at}umontreal.ca

Benjamin Pham

Pharmacist, a master’s degree in advanced pharmacotherapy candidate at the University of Montréal, and a resident at the Jewish General Hospital in Montréal.

PharmD

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Melanie Yang

Pharmacist, a master’s degree in advanced pharmacotherapy candidate at the University of Montréal, and a resident at Montreal Sacred Heart Hospital.

PharmD

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Young Lee

Pharmacist at Jean Coutu and Familiprix in Montréal.

PharmD

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Nicolas Dugré

Pharmacist at the CIUSSS du Nord-de-l’Île-de-Montréal and Clinical Associate Professor in the Faculty of Pharmacy at the University of Montréal.

PharmD MSc BCACP

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Amélie Gravel

Clinical Instructor in the Department of Family Medicine and Emergency Medicine at the University of Montréal.

MD CCMF

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Table 1.
Approximate 90-day costs of ACEIs and ARBs
GENERIC NAME APPROXIMATE 90-DAY COST, $^*
ACEIs
  • Ramipril 10
  • Perindopril 25
ARBs
  • Valsartan 20
  • Telmisartan 20
  • Candesartan 20
ACEI—angiotensin-converting enzyme inhibitor, ARB—angiotensin II receptor blocker.
↵* Excluding pharmacists’ professional fees. Cost may vary between provinces.
Data from Manitoba Health.²⁵

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Canadian Family Physician

Vol. 72, Issue 3

1 Mar 2026

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All in on ARBs

Philippe Phan, Benjamin Pham, Melanie Yang, Young Lee, Nicolas Dugré, Amélie Gravel

Canadian Family Physician Mar 2026, 72 (3) 167-172; DOI: 10.46747/cfp.7203167

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All in on ARBs

Philippe Phan, Benjamin Pham, Melanie Yang, Young Lee, Nicolas Dugré, Amélie Gravel

Canadian Family Physician Mar 2026, 72 (3) 167-172; DOI: 10.46747/cfp.7203167

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GENERIC NAME	APPROXIMATE 90-DAY COST, $^*
ACEIs
• Ramipril	10
• Perindopril	25
ARBs
• Valsartan	20
• Telmisartan	20
• Candesartan	20