NitroMist® (nitroglycerin) is a lingual aerosol that delivers 400 mcg per spray, (230 metered sprays per container). It is a nitrate vasodilator indicated for acute relief of an attack or acute prophylaxis of angina pectoris due to coronary artery disease.
The patient is being treated for angina pectoris AND
The patient has used nitroglycerine sublingual tablets in the past 6 months AND
Prescriber provides clinical rationale that NitroMist would be expected to offer superior results to the sublingual tablets
After an AWP-15% discount, the cost of NitroMist is $194/bottle.
On average, a cost of one bottle of 100 tablets of 0.4 mg (400 mcg) sublingual tablets is $13.00.
MA pays for 941 claims per quarter of 0.4 mcg sublingual tablets.
MHCP Provider Call Center 651-431-2700 or 800-366-5411