GLYCERYL TRINITRATE
glyceryl trinitrate 5 mg/24 hours patch, 30
GLYCERYL TRINITRATE (14371J)
14371J
Body System:
Manner of administration:Transdermal
Restriction
Indication: The condition must be stable for the prescriber to consider the listed maximum quantity
of this medicine suitable for this patient.
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 60 | # of repeats: 5 | DPMQ: $46.24 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Minitran 5 | |||||
