DILTIAZEM

diltiazem hydrochloride 60 mg tablet, 90
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: 90 # of repeats: 5 DPMQ: $21.75 Max safety net: $23.23 General Patient Charge: $25.00
Available brands
Vasocardol
Cardizem
*Additional charge for this brand is $1.90
DPMQ: $23.65 Max safety net: $23.23 General Patient Charge: $26.90