GLYCERYL TRINITRATE

glyceryl trinitrate 400 microgram/actuation spray, 200 actuations

GLYCERYL TRINITRATE (13549D)

glyceryl trinitrate 400 microgram/actuation spray, 200 actuations
13549D
Manner of administration:Sublingual
General Schedule
Restricted Benefit

Restriction

Indication: The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 5 DPMQ: $39.06 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Nitrolingual Pumpspray