GLYCERYL TRINITRATE

glyceryl trinitrate 5 mg/24 hours patch, 30

GLYCERYL TRINITRATE (14371J)

glyceryl trinitrate 5 mg/24 hours patch, 30
14371J
Manner of administration:Transdermal
General Schedule
Restricted Benefit

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