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 |
---|---|---|---|---|---|---|---|
14565NMPNP |
DILTIAZEM diltiazem hydrochloride 360 mg modified release capsule, 30 (PI, CMI) |
2 | 60 | 5 | $37.29 | $31.60 | $31.60 |
Available brands | |||||||
Diltiazem Sandoz CDa | |||||||
Vasocardol CDa | |||||||
Cardizem CDa * Additional charge for this brand is
$3.80B
|
2 | 60 | 5 | $41.09 | $31.60 | $35.40 |
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 |
---|---|---|---|---|---|---|---|
8480HMPNP | DILTIAZEM diltiazem hydrochloride 360 mg modified release capsule, 30 (PI, CMI) |
1 | 30 | 5 | $25.37 | $26.82 | $30.27 |
Available brands | |||||||
Diltiazem Sandoz CDa | |||||||
Vasocardol CDa | |||||||
Cardizem CDa * Additional charge for this brand is
$1.90B
|
1 | 30 | 5 | $27.27 | $26.82 | $32.17 |
- Legend
- BBrand premium applies
- aBrand equivalent a
- MPMedical Practitioner
- NPNurse Practitioner
- 60D60-day prescriptions