BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10015DMPNP BUDESONIDE + FORMOTEROL
budesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations (PI, CMI)
2 2 5 $42.62 $25.00 $25.00
Available brands
Rilast RAPIHALER 100/3a
Symbicort Rapihaler 100/3a
* Additional charge for this brand is $4.96B
2 2 5 $47.58 $25.00 $29.96
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10018GMPNP BUDESONIDE + FORMOTEROL
budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations (PI, CMI)
2 2 5 $61.24 $25.00 $25.00
Available brands
Rilast RAPIHALER 200/6a
Symbicort Rapihaler 200/6a
* Additional charge for this brand is $4.96B
2 2 5 $66.20 $25.00 $29.96
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
11273HMPNP BUDESONIDE + FORMOTEROL
budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations (PI, CMI)
1 1 5 $37.80 $25.00 $25.00
Available brands
DuoResp Spiromaxa
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
11301TMPNP BUDESONIDE + FORMOTEROL
budesonide 400 microgram/actuation + formoterol fumarate dihydrate 12 microgram/actuation powder for inhalation, 2 x 60 actuations (PI, CMI)
1 2 5 $61.25 $25.00 $25.00
Available brands
DuoResp Spiromaxa
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12029DMPNP BUDESONIDE + FORMOTEROL
budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations (PI, CMI)
1 1 2 $37.80 $25.00 $25.00
Available brands
DuoResp Spiromaxa
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12041RMPNP BUDESONIDE + FORMOTEROL
budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations (PI, CMI)
1 1 2 $37.80 $25.00 $25.00
Available brands
Bufomix EASYHALER 200/6a
Rilast TURBUHALER 200/6a
Symbicort Turbuhaler 200/6a
* Additional charge for this brand is $4.00B
1 1 2 $41.80 $25.00 $29.00
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12042TMPNP BUDESONIDE + FORMOTEROL
budesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations (PI, CMI)
2 2 2 $42.62 $25.00 $25.00
Available brands
Rilast RAPIHALER 100/3a
Symbicort Rapihaler 100/3a
* Additional charge for this brand is $4.96B
2 2 2 $47.58 $25.00 $29.96
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12082XMP BUDESONIDE + FORMOTEROL
budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations (PI, CMI)
2 2 5 $61.24 $25.00 $25.00
Available brands
Rilast RAPIHALER 200/6a
Symbicort Rapihaler 200/6a
* Additional charge for this brand is $4.96B
2 2 5 $66.20 $25.00 $29.96
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12089GMP BUDESONIDE + FORMOTEROL
budesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations (PI, CMI)
2 2 5 $42.62 $25.00 $25.00
Available brands
Rilast RAPIHALER 100/3a
Symbicort Rapihaler 100/3a
* Additional charge for this brand is $4.96B
2 2 5 $47.58 $25.00 $29.96
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12093LMP BUDESONIDE + FORMOTEROL
budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations (PI, CMI)
1 1 5 $37.80 $25.00 $25.00
Available brands
Bufomix EASYHALER 200/6a
DuoResp Spiromaxa
Rilast TURBUHALER 200/6a
Symbicort Turbuhaler 200/6a
* Additional charge for this brand is $4.00B
1 1 5 $41.80 $25.00 $29.00
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
12101XMP BUDESONIDE + FORMOTEROL
budesonide 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations (PI, CMI)
1 1 5 $41.30 $25.00 $25.00
Available brands
Symbicort Turbuhaler 100/6
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
13258TMPNP BUDESONIDE + FORMOTEROL
budesonide 400 microgram/actuation + formoterol fumarate dihydrate 12 microgram/actuation powder for inhalation, 60 actuations (PI, CMI)
2 2 5 $61.26 $25.00 $25.00
Available brands
Bufomix Easyhaler 400/12a
DuoResp Spiromaxa
Rilast TURBUHALER 400/12a
Symbicort TURBUHALER 400/12a
* Additional charge for this brand is $4.00B
2 2 5 $65.26 $25.00 $29.00
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
14151TMPNP BUDESONIDE + FORMOTEROL
budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 60 actuations (PI, CMI)
2 2 5 $37.82 $25.00 $25.00
Available brands
Bufomix Easyhaler 200/6
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
14159FMP BUDESONIDE + FORMOTEROL
budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 60 actuations (PI, CMI)
2 2 5 $37.82 $25.00 $25.00
Available brands
Bufomix Easyhaler 200/6
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
14166NMPNP BUDESONIDE + FORMOTEROL
budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 60 actuations (PI, CMI)
2 2 2 $37.82 $25.00 $25.00
Available brands
Bufomix Easyhaler 200/6
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
14365CMP
BUDESONIDE + FORMOTEROL
budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations (PI, CMI)
2 2 5 $61.82 $25.00 $25.00
Available brands
Bufomix EASYHALER 200/6a
DuoResp Spiromaxa
Rilast TURBUHALER 200/6a
Symbicort Turbuhaler 200/6a
* Additional charge for this brand is $8.00B
2 2 5 $69.82 $25.00 $33.00
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
14398TMPNP
BUDESONIDE + FORMOTEROL
budesonide 400 microgram/actuation + formoterol fumarate dihydrate 12 microgram/actuation powder for inhalation, 60 actuations (PI, CMI)
4 4 5 $108.72 $25.00 $25.00
Available brands
Bufomix Easyhaler 400/12a
DuoResp Spiromaxa
Rilast TURBUHALER 400/12a
Symbicort TURBUHALER 400/12a
* Additional charge for this brand is $8.12B
4 4 5 $116.84 $25.00 $33.12
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
14434QMPNP
BUDESONIDE + FORMOTEROL
budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations (PI, CMI)
2 2 5 $61.82 $25.00 $25.00
Available brands
DuoResp Spiromaxa
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
14435RMPNP
BUDESONIDE + FORMOTEROL
budesonide 400 microgram/actuation + formoterol fumarate dihydrate 12 microgram/actuation powder for inhalation, 2 x 60 actuations (PI, CMI)
2 4 5 $108.72 $25.00 $25.00
Available brands
DuoResp Spiromaxa
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
14436TMP
BUDESONIDE + FORMOTEROL
budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations (PI, CMI)
4 4 5 $108.68 $25.00 $25.00
Available brands
Rilast RAPIHALER 200/6a
Symbicort Rapihaler 200/6a
* Additional charge for this brand is $10.16B
4 4 5 $118.84 $25.00 $35.16
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
14437WMP
BUDESONIDE + FORMOTEROL
budesonide 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations (PI, CMI)
2 2 5 $68.82 $25.00 $25.00
Available brands
Symbicort Turbuhaler 100/6
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
14439YMPNP
BUDESONIDE + FORMOTEROL
budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations (PI, CMI)
2 2 5 $61.82 $25.00 $25.00
Available brands
Bufomix EASYHALER 200/6a
Rilast TURBUHALER 200/6a
Symbicort Turbuhaler 200/6a
* Additional charge for this brand is $8.00B
2 2 5 $69.82 $25.00 $33.00
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
14440BMPNP
BUDESONIDE + FORMOTEROL
budesonide 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations (PI, CMI)
2 2 5 $68.82 $25.00 $25.00
Available brands
Symbicort Turbuhaler 100/6
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
14467KMPNP
BUDESONIDE + FORMOTEROL
budesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations (PI, CMI)
4 4 5 $71.44 $25.00 $25.00
Available brands
Rilast RAPIHALER 100/3a
Symbicort Rapihaler 100/3a
* Additional charge for this brand is $9.92B
4 4 5 $81.36 $25.00 $34.92
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
14468LMPNP
BUDESONIDE + FORMOTEROL
budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation inhalation, 120 actuations (PI, CMI)
4 4 5 $108.68 $25.00 $25.00
Available brands
Rilast RAPIHALER 200/6a
Symbicort Rapihaler 200/6a
* Additional charge for this brand is $10.16B
4 4 5 $118.84 $25.00 $35.16
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
14535BMP
BUDESONIDE + FORMOTEROL
budesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations (PI, CMI)
4 4 5 $71.44 $25.00 $25.00
Available brands
Rilast RAPIHALER 100/3a
Symbicort Rapihaler 100/3a
* Additional charge for this brand is $9.92B
4 4 5 $81.36 $25.00 $34.92
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
8625YMPNP BUDESONIDE + FORMOTEROL
budesonide 200 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations (PI, CMI)
1 1 5 $37.80 $25.00 $25.00
Available brands
Bufomix EASYHALER 200/6a
Rilast TURBUHALER 200/6a
Symbicort Turbuhaler 200/6a
* Additional charge for this brand is $4.00B
1 1 5 $41.80 $25.00 $29.00
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BUDESONIDE + FORMOTEROL

Source General Schedule
Body System RESPIRATORY SYSTEM > DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES > ADRENERGICS, INHALANTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
8796YMPNP BUDESONIDE + FORMOTEROL
budesonide 100 microgram/actuation + formoterol fumarate dihydrate 6 microgram/actuation powder for inhalation, 120 actuations (PI, CMI)
1 1 5 $41.30 $25.00 $25.00
Available brands
Symbicort Turbuhaler 100/6
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner
  • 60D60-day prescriptions