DILTIAZEM
Source | General Schedule |
Body System | CARDIOVASCULAR SYSTEM > CALCIUM CHANNEL BLOCKERS > SELECTIVE CALCIUM CHANNEL BLOCKERS WITH DIRECT CARDIAC EFFECTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
1312CMPNP | DILTIAZEM diltiazem hydrochloride 180 mg modified release capsule, 30 (PI, CMI) |
1 | 30 | 5 | $19.26 | $20.71 | $24.16 |
Available brands | |||||||
Diltiazem Sandoz CDa | |||||||
Vasocardol CDa | |||||||
Cardizem CDa * Additional charge for this brand is
$1.64B
|
1 | 30 | 5 | $20.90 | $20.71 | $25.80 |
DILTIAZEM
Source | General Schedule |
Body System | CARDIOVASCULAR SYSTEM > CALCIUM CHANNEL BLOCKERS > SELECTIVE CALCIUM CHANNEL BLOCKERS WITH DIRECT CARDIAC EFFECTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
1313DMPNP | DILTIAZEM diltiazem hydrochloride 240 mg modified release capsule, 30 (PI, CMI) |
1 | 30 | 5 | $21.30 | $22.75 | $26.20 |
Available brands | |||||||
Diltiazem Sandoz CDa | |||||||
Vasocardol CDa | |||||||
Cardizem CDa * Additional charge for this brand is
$1.64B
|
1 | 30 | 5 | $22.94 | $22.75 | $27.84 |
DILTIAZEM
Source | General Schedule |
Body System | CARDIOVASCULAR SYSTEM > CALCIUM CHANNEL BLOCKERS > SELECTIVE CALCIUM CHANNEL BLOCKERS WITH DIRECT CARDIAC EFFECTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
1335GMPNP | DILTIAZEM diltiazem hydrochloride 60 mg tablet, 90 (PI, CMI) |
1 | 90 | 5 | $21.42 | $22.87 | $26.32 |
Available brands | |||||||
Vasocardola | |||||||
Cardizema * Additional charge for this brand is
$1.90B
|
1 | 90 | 5 | $23.32 | $22.87 | $28.22 |
DILTIAZEM
Source | General Schedule |
Body System | CARDIOVASCULAR SYSTEM > CALCIUM CHANNEL BLOCKERS > SELECTIVE CALCIUM CHANNEL BLOCKERS WITH DIRECT CARDIAC EFFECTS |
|
Code & Prescriber |
Medicinal Product Pack (Name, form & strength and pack size) |
Max qty packs | Max qty units | No. of repeats | DPMQ | Max Safety Net | General Patient Charge |
---|---|---|---|---|---|---|---|
8480HMPNP | DILTIAZEM diltiazem hydrochloride 360 mg modified release capsule, 30 (PI, CMI) |
1 | 30 | 5 | $25.37 | $26.82 | $30.27 |
Available brands | |||||||
Diltiazem Sandoz CDa | |||||||
Vasocardol CDa | |||||||
Cardizem CDa * Additional charge for this brand is
$1.90B
|
1 | 30 | 5 | $27.27 | $26.82 | $32.17 |
- Legend
- BBrand premium applies
- aBrand equivalent a
- MPMedical Practitioner
- NPNurse Practitioner