Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > VASODILATORS USED IN CARDIAC DISEASES

Restricted Benefit

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
13490BMPNP	GLYCERYL TRINITRATE glyceryl trinitrate 5 mg/24 hours patch, 30 (PI, CMI)	2	60	5	$45.91	$31.60	$31.60
	Available brands
	Transiderm-Nitro 25

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > VASODILATORS USED IN CARDIAC DISEASES

Note

Restricted Benefit

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
13549DMPNP	GLYCERYL TRINITRATE glyceryl trinitrate 400 microgram/actuation spray, 200 actuations (PI, CMI)	2	2	5	$38.73	$31.60	$31.60
	Available brands
	Nitrolingual Pumpspray

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > VASODILATORS USED IN CARDIAC DISEASES

Restricted Benefit

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
13580RMPNP	GLYCERYL TRINITRATE glyceryl trinitrate 10 mg/24 hours patch, 30 (PI, CMI)	2	60	5	$56.01	$31.60	$31.60
	Available brands
	Transiderm-Nitro 50

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > VASODILATORS USED IN CARDIAC DISEASES

Restricted Benefit

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
14335LMPNP	GLYCERYL TRINITRATE glyceryl trinitrate 15 mg/24 hours patch, 30 (PI, CMI)	2	60	5	$61.77	$31.60	$31.60
	Available brands
	Minitran 15

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > VASODILATORS USED IN CARDIAC DISEASES

Restricted Benefit

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
14371JMPNP	GLYCERYL TRINITRATE glyceryl trinitrate 5 mg/24 hours patch, 30 (PI, CMI)	2	60	5	$45.91	$31.60	$31.60
	Available brands
	Minitran 5

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > VASODILATORS USED IN CARDIAC DISEASES

Restricted Benefit

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
14478BMPNP	GLYCERYL TRINITRATE glyceryl trinitrate 10 mg/24 hours patch, 30 (PI, CMI)	2	60	5	$56.01	$31.60	$31.60
	Available brands
	Minitran 10 SO Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule. Supply only

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > VASODILATORS USED IN CARDIAC DISEASES

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
1515RMPNP	GLYCERYL TRINITRATE glyceryl trinitrate 5 mg/24 hours patch, 30 (PI, CMI)	1	30	5	$29.68	$31.13	$31.60
	Available brands
	Transiderm-Nitro 25

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > VASODILATORS USED IN CARDIAC DISEASES

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
1516TMPNP	GLYCERYL TRINITRATE glyceryl trinitrate 10 mg/24 hours patch, 30 (PI, CMI)	1	30	5	$34.73	$31.60	$31.60
	Available brands
	Transiderm-Nitro 50

Source	Prescriber Bag
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > VASODILATORS USED IN CARDIAC DISEASES

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
3475XMPNP	GLYCERYL TRINITRATE glyceryl trinitrate 400 microgram/actuation spray, 200 actuations (PI, CMI)	1	1	0	$26.09	$0.00	Nil
	Available brands
	Nitrolingual Pumpspray

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > VASODILATORS USED IN CARDIAC DISEASES

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
8027LMPNP	GLYCERYL TRINITRATE glyceryl trinitrate 5 mg/24 hours patch, 30 (PI, CMI)	1	30	5	$29.68	$31.13	$31.60
	Available brands
	Minitran 5

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > VASODILATORS USED IN CARDIAC DISEASES

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
8028MMPNP	GLYCERYL TRINITRATE glyceryl trinitrate 10 mg/24 hours patch, 30 (PI, CMI)	1	30	5	$34.73	$31.60	$31.60
	Available brands
	Minitran 10 SO Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule. Supply only

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > VASODILATORS USED IN CARDIAC DISEASES

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
8119HMPNP	GLYCERYL TRINITRATE glyceryl trinitrate 15 mg/24 hours patch, 30 (PI, CMI)	1	30	5	$37.61	$31.60	$31.60
	Available brands
	Minitran 15

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > VASODILATORS USED IN CARDIAC DISEASES

Note

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
8171CMPNP	GLYCERYL TRINITRATE glyceryl trinitrate 400 microgram/actuation spray, 200 actuations (PI, CMI)	1	1	5	$26.09	$27.54	$30.99
	Available brands
	Nitrolingual Pumpspray