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
1312CMPNP DILTIAZEM
diltiazem hydrochloride 180 mg modified release capsule, 30 (PI, CMI)
1 30 5 $19.71 $21.11 $24.56
Available brands
Diltiazem Sandoz CDa
Vasocardol CDa
Cardizem CDa
* Additional charge for this brand is $1.90B
1 30 5 $21.61 $21.11 $26.46
space

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
1313DMPNP DILTIAZEM
diltiazem hydrochloride 240 mg modified release capsule, 30 (PI, CMI)
1 30 5 $22.08 $23.48 $26.93
Available brands
Diltiazem Sandoz CDa
Vasocardol CDa
Cardizem CDa
* Additional charge for this brand is $1.90B
1 30 5 $23.98 $23.48 $28.83
space

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 $20.95 $22.35 $25.80
Available brands
Vasocardola
Cardizema
* Additional charge for this brand is $1.90B
1 90 5 $22.85 $22.35 $27.70
space

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 $24.90 $26.30 $29.75
Available brands
Diltiazem Sandoz CDa
Vasocardol CDa
Cardizem CDa
* Additional charge for this brand is $1.90B
1 30 5 $26.80 $26.30 $31.65
space


  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner