EMPAGLIFLOZIN + METFORMIN

empagliflozin 12.5 mg + metformin hydrochloride 1 g tablet, 60

EMPAGLIFLOZIN + METFORMIN (10677Y)

empagliflozin 12.5 mg + metformin hydrochloride 1 g tablet, 60
10677Y
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 16158)

Indication: Diabetes mellitus type 2

Restriction (Streamlined authority code: 15289)

Indication: Diabetes mellitus type 2
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 60 # of repeats: 5 DPMQ: $57.69 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Jardiamet 12.5 mg/1000 mg