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 | $21.63 | $23.11 | $26.56 |
| Available brands | |||||||
| Diltiazem Sandoz CDa | |||||||
| Vasocardol CDa | |||||||
| Cardizem CDa * Additional charge for this brand is
$1.64B
|
1 | 30 | 5 | $23.27 | $23.11 | $28.20 |
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 |
|---|---|---|---|---|---|---|---|
| 14508NMPNP |
DILTIAZEM diltiazem hydrochloride 240 mg modified release capsule, 30 (PI, CMI) |
2 | 60 | 5 | $29.48 | $30.96 | $31.60 |
| Available brands | |||||||
| Diltiazem Sandoz CDa | |||||||
| Vasocardol CDa | |||||||
| Cardizem CDa * Additional charge for this brand is
$3.28B
|
2 | 60 | 5 | $32.76 | $30.96 | $34.88 |
- Legend
- BBrand premium applies
- aBrand equivalent a
- MPMedical Practitioner
- NPNurse Practitioner
- 60D60-day prescriptions




