GLYCERYL TRINITRATE
glyceryl trinitrate 5 mg/24 hours patch, 30
GLYCERYL TRINITRATE (8027L)
8027L
Body System:
Manner of administration:Transdermal
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 30 | # of repeats: 5 | DPMQ: $30.01 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Minitran 5 | |||||
