ISOSORBIDE MONONITRATE
isosorbide mononitrate 60 mg modified release tablet, 30
ISOSORBIDE MONONITRATE (1558B)
1558B
Body System:
Manner of administration:Oral
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
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| Max qty packs: 1 | Max qty units: 30 | # of repeats: 5 | DPMQ: $17.55 | Max safety net: $19.03 | General Patient Charge: $21.82 |
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DPMQ: $20.93 | Max safety net: $19.03 | General Patient Charge: $25.20 | ||