BUDESONIDE + FORMOTEROL

budesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations

BUDESONIDE + FORMOTEROL (12089G)

budesonide 100 microgram/actuation + formoterol fumarate dihydrate 3 microgram/actuation inhalation, 120 actuations
12089G
Body System:
Manner of administration:Inhalation By Mouth
General Schedule
Authority Required (STREAMLINED)

Restriction  10538

Indication: Asthma
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 2 # of repeats: 5 DPMQ: $42.62 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Rilast RAPIHALER 100/3
Symbicort Rapihaler 100/3
*Additional charge for this brand is $4.96
 DPMQ: $47.58 Max safety net: $25.00 General Patient Charge: $29.96