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
13611JMPNP	ISOSORBIDE MONONITRATE isosorbide mononitrate 120 mg modified release tablet, 30 (PI, CMI)	2	60	5	$28.11	$29.56	$31.60
	Available brands
	Monodur 120 mga
	Imdur 120 mga * Additional charge for this brand is $6.74B	2	60	5	$34.85	$29.56	$38.34

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
8273KMPNP	ISOSORBIDE MONONITRATE isosorbide mononitrate 120 mg modified release tablet, 30 (PI, CMI)	1	30	5	$20.78	$22.23	$25.68
	Available brands
	Monodur 120 mga
	Imdur 120 mga * Additional charge for this brand is $3.37B	1	30	5	$24.15	$22.23	$29.05