DILTIAZEM

diltiazem hydrochloride 240 mg modified release capsule, 30

DILTIAZEM (1313D)

diltiazem hydrochloride 240 mg modified release capsule, 30
1313D
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: $21.63 Max safety net: $23.11 General Patient Charge: $25.00
Available brands
Diltiazem Sandoz CD
Vasocardol CD
Cardizem CD
*Additional charge for this brand is $1.64
DPMQ: $23.27 Max safety net: $23.11 General Patient Charge: $26.64