PROPRANOLOL

propranolol hydrochloride 10 mg tablet, 100

PROPRANOLOL (13386M)

propranolol hydrochloride 10 mg tablet, 100
13386M
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 200 # of repeats: 5 DPMQ: $20.96 Max safety net: $22.50 General Patient Charge: $25.00
Available brands
APO-Propranolol
PROPRANOLOL-WGR
Deralin 10
*Additional charge for this brand is $5.58
 DPMQ: $26.54 Max safety net: $22.50 General Patient Charge: $30.58
Inderal
*Additional charge for this brand is $16.24
 DPMQ: $37.20 Max safety net: $22.50 General Patient Charge: $41.24