DILTIAZEM

DILTIAZEM (1312C)

diltiazem hydrochloride 180 mg modified release capsule, 30
1312C
Body System:
Manner of administration:Oral
General Schedule
No restrictions
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: $19.99 Max safety net: $21.53 General Patient Charge: $24.32
Available brands
Diltiazem Sandoz CD
Vasocardol CD
Cardizem CD
*Additional charge for this brand is $1.59
 DPMQ: $21.58 Max safety net: $21.53 General Patient Charge: $25.91