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
13491CMPNP	ISOSORBIDE DINITRATE isosorbide dinitrate 5 mg sublingual tablet, 100 (PI, CMI)	4	400	2	$28.51	$29.96	$31.60
	Available brands
	Isordil Sublingual