ISOSORBIDE MONONITRATE

isosorbide mononitrate 120 mg modified release tablet, 30

ISOSORBIDE MONONITRATE (8273K)

isosorbide mononitrate 120 mg modified release tablet, 30
8273K
Body System:
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: $21.46 Max safety net: $23.00 General Patient Charge: $25.00
Available brands
Monodur 120 mg
Imdur 120 mg
*Additional charge for this brand is $3.27
 DPMQ: $24.73 Max safety net: $23.00 General Patient Charge: $28.27