DILTIAZEM
Source | General Schedule |
Body System | CARDIOVASCULAR SYSTEM > CALCIUM CHANNEL BLOCKERS > SELECTIVE CALCIUM CHANNEL BLOCKERS WITH DIRECT CARDIAC EFFECTS |
|
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 |
---|---|---|---|---|---|---|---|
1335GMPNP | DILTIAZEM diltiazem hydrochloride 60 mg tablet, 90 (PI, CMI) |
1 | 90 | 5 | $21.42 | $22.87 | $26.32 |
Available brands | |||||||
Vasocardola | |||||||
Cardizema * Additional charge for this brand is
$1.90B
|
1 | 90 | 5 | $23.32 | $22.87 | $28.22 |
DILTIAZEM
Source | General Schedule |
Body System | CARDIOVASCULAR SYSTEM > CALCIUM CHANNEL BLOCKERS > SELECTIVE CALCIUM CHANNEL BLOCKERS WITH DIRECT CARDIAC EFFECTS |
|
|
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 |
---|---|---|---|---|---|---|---|
14479CMPNP |
DILTIAZEM diltiazem hydrochloride 60 mg tablet, 90 (PI, CMI) |
2 | 180 | 5 | $29.39 | $30.84 | $31.60 |
Available brands | |||||||
Vasocardola | |||||||
Cardizema * Additional charge for this brand is
$3.80B
|
2 | 180 | 5 | $33.19 | $30.84 | $35.40 |
- Legend
- BBrand premium applies
- aBrand equivalent a
- MPMedical Practitioner
- NPNurse Practitioner
- 60D60-day prescriptions