Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > VASODILATORS USED IN CARDIAC DISEASES

Note

Restricted Benefit

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
13549DMPNP	GLYCERYL TRINITRATE glyceryl trinitrate 400 microgram/actuation spray, 200 actuations (PI, CMI)	2	2	5	$39.06	$31.60	$31.60
	Available brands
	Nitrolingual Pumpspray

Source	Prescriber Bag
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > VASODILATORS USED IN CARDIAC DISEASES

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
3475XMPNP	GLYCERYL TRINITRATE glyceryl trinitrate 400 microgram/actuation spray, 200 actuations (PI, CMI)	1	1	0	$26.42	$0.00	Nil
	Available brands
	Nitrolingual Pumpspray

Source	General Schedule
Body System	CARDIOVASCULAR SYSTEM > CARDIAC THERAPY > VASODILATORS USED IN CARDIAC DISEASES

Note

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
8171CMPNP	GLYCERYL TRINITRATE glyceryl trinitrate 400 microgram/actuation spray, 200 actuations (PI, CMI)	1	1	5	$26.42	$27.90	$31.35
	Available brands
	Nitrolingual Pumpspray