DILTIAZEM
diltiazem hydrochloride 240 mg modified release capsule, 30
DILTIAZEM (1313D)
1313D
Manner of administration:Oral
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
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| Max qty packs: 1 | Max qty units: 30 | # of repeats: 5 | DPMQ: $21.63 | Max safety net: $23.11 | General Patient Charge: $25.00 |
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DPMQ: $23.27 | Max safety net: $23.11 | General Patient Charge: $26.64 | ||
