LISINOPRIL

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, PLAIN
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
13402JMPNP LISINOPRIL
lisinopril 20 mg tablet, 30 (PI, CMI)
2 60 5 $21.15 $22.55 $26.00
Available brands
APO-Lisinoprila
Fibsol 20a
Lisinopril Sandoza
Lisinopril generichealtha
Zinopril 20a
Zestrila
* Additional charge for this brand is $9.66B
2 60 5 $30.81 $22.55 $35.66
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LISINOPRIL

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, PLAIN
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
13583XMPNP LISINOPRIL
lisinopril 5 mg tablet, 30 (PI, CMI)
2 60 5 $18.43 $19.83 $23.28
Available brands
APO-Lisinoprila
Fibsol 5a
Lisinopril Sandoza
Zinopril 5a
Zestrila
* Additional charge for this brand is $9.64B
2 60 5 $28.07 $19.83 $32.92
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LISINOPRIL

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, PLAIN
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
13584YMPNP LISINOPRIL
lisinopril 10 mg tablet, 30 (PI, CMI)
2 60 5 $20.51 $21.91 $25.36
Available brands
APO-Lisinoprila
Fibsol 10a
Lisinopril Sandoza
Zinopril 10a
Zestrila
* Additional charge for this brand is $9.68B
2 60 5 $30.19 $21.91 $35.04
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LISINOPRIL

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, PLAIN
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
2456GMPNP LISINOPRIL
lisinopril 5 mg tablet, 30 (PI, CMI)
1 30 5 $15.71 $17.11 $20.56
Available brands
APO-Lisinoprila
Fibsol 5a
Lisinopril Sandoza
Zinopril 5a
Zestrila
* Additional charge for this brand is $4.82B
1 30 5 $20.53 $17.11 $25.38
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LISINOPRIL

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, PLAIN
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
2457HMPNP LISINOPRIL
lisinopril 10 mg tablet, 30 (PI, CMI)
1 30 5 $16.75 $18.15 $21.60
Available brands
APO-Lisinoprila
Fibsol 10a
Lisinopril Sandoza
Zinopril 10a
Zestrila
* Additional charge for this brand is $4.84B
1 30 5 $21.59 $18.15 $26.44
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LISINOPRIL

Source General Schedule
Body System CARDIOVASCULAR SYSTEM > AGENTS ACTING ON THE RENIN-ANGIOTENSIN SYSTEM > ACE INHIBITORS, PLAIN
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
2458JMPNP LISINOPRIL
lisinopril 20 mg tablet, 30 (PI, CMI)
1 30 5 $17.07 $18.47 $21.92
Available brands
APO-Lisinoprila
Fibsol 20a
Lisinopril Sandoza
Lisinopril generichealtha
Zinopril 20a
Zestrila
* Additional charge for this brand is $4.83B
1 30 5 $21.90 $18.47 $26.75
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner