Page 16 - APPENDICES for Janet Tuma
P. 16

Diltiazem hydrochloride 300mg                                       Quantity          Frequency
      capsule extended release 24                                         30                Every month
      hour
      generic


      Hydrochlorothiazide 25mg                                            Quantity          Frequency
      tablet                                                              30                Every month
      generic




                                                         This is the only
                                                         formulation of
                                                         Diltiazem that is
                                                         listed in the Medicare
                                                         Plan Finder program.
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