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

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

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
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