Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CALCIUM CHANNEL BLOCKERS > SELECTIVE CALCIUM CHANNEL BLOCKERS WITH DIRECT CARDIAC EFFECTS

Caution

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
1312CMPNP	DILTIAZEM diltiazem hydrochloride 180 mg modified release capsule, 30 (PI, CMI)	1	30	5	$19.59	$21.07	$23.86
	Available brands
	Diltiazem Sandoz CDa
	Vasocardol CDa
	Cardizem CDa * Additional charge for this brand is $1.64B	1	30	5	$21.23	$21.07	$25.50

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CALCIUM CHANNEL BLOCKERS > SELECTIVE CALCIUM CHANNEL BLOCKERS WITH DIRECT CARDIAC EFFECTS

Caution

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
1313DMPNP	DILTIAZEM diltiazem hydrochloride 240 mg modified release capsule, 30 (PI, CMI)	1	30	5	$21.63	$23.11	$25.00
	Available brands
	Diltiazem Sandoz CDa
	Vasocardol CDa
	Cardizem CDa * Additional charge for this brand is $1.64B	1	30	5	$23.27	$23.11	$26.64

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CALCIUM CHANNEL BLOCKERS > SELECTIVE CALCIUM CHANNEL BLOCKERS WITH DIRECT CARDIAC EFFECTS

Caution

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	$21.75	$23.23	$25.00
	Available brands
	Vasocardola
	Cardizema * Additional charge for this brand is $1.90B	1	90	5	$23.65	$23.23	$26.90

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CALCIUM CHANNEL BLOCKERS > SELECTIVE CALCIUM CHANNEL BLOCKERS WITH DIRECT CARDIAC EFFECTS

Caution

Restricted Benefit

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	$29.72	$25.00	$25.00
	Available brands
	Vasocardola
	Cardizema * Additional charge for this brand is $3.80B	2	180	5	$33.52	$25.00	$28.80

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CALCIUM CHANNEL BLOCKERS > SELECTIVE CALCIUM CHANNEL BLOCKERS WITH DIRECT CARDIAC EFFECTS

Caution

Restricted Benefit

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
14508NMPNP	DILTIAZEM diltiazem hydrochloride 240 mg modified release capsule, 30 (PI, CMI)	2	60	5	$29.48	$25.00	$25.00
	Available brands
	Diltiazem Sandoz CDa
	Vasocardol CDa
	Cardizem CDa * Additional charge for this brand is $3.28B	2	60	5	$32.76	$25.00	$28.28

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CALCIUM CHANNEL BLOCKERS > SELECTIVE CALCIUM CHANNEL BLOCKERS WITH DIRECT CARDIAC EFFECTS

Caution

Restricted Benefit

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
14564MMPNP	DILTIAZEM diltiazem hydrochloride 180 mg modified release capsule, 30 (PI, CMI)	2	60	5	$25.40	$25.00	$25.00
	Available brands
	Diltiazem Sandoz CDa
	Vasocardol CDa
	Cardizem CDa * Additional charge for this brand is $3.28B	2	60	5	$28.68	$25.00	$28.28

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CALCIUM CHANNEL BLOCKERS > SELECTIVE CALCIUM CHANNEL BLOCKERS WITH DIRECT CARDIAC EFFECTS

Caution

Restricted Benefit

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	$37.62	$25.00	$25.00
	Available brands
	Diltiazem Sandoz CDa
	Vasocardol CDa
	Cardizem CDa * Additional charge for this brand is $3.80B	2	60	5	$41.42	$25.00	$28.80

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CALCIUM CHANNEL BLOCKERS > SELECTIVE CALCIUM CHANNEL BLOCKERS WITH DIRECT CARDIAC EFFECTS

Caution

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	$25.70	$25.00	$25.00
	Available brands
	Diltiazem Sandoz CDa
	Vasocardol CDa
	Cardizem CDa * Additional charge for this brand is $1.90B	1	30	5	$27.60	$25.00	$26.90