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 $21.96 $23.44 $25.00
Available brands
APO-Lisinoprila
Fibsol 20a
LISINOPRIL-WGRa
Lisinopril Sandoza
Zinopril 20a
Zestrila
* Additional charge for this brand is $9.66B
2 60 5 $31.62 $23.44 $34.66
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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 $19.24 $20.72 $23.51
Available brands
APO-Lisinoprila
Fibsol 5a
LISINOPRIL-WGRa
Lisinopril Sandoza
Zinopril 5a
Zestrila
* Additional charge for this brand is $9.64B
2 60 5 $28.88 $20.72 $33.15
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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 $21.32 $22.80 $25.00
Available brands
APO-Lisinoprila
Fibsol 10a
LISINOPRIL-WGRa
Lisinopril Sandoza
Zinopril 10a
Zestrila
* Additional charge for this brand is $9.68B
2 60 5 $31.00 $22.80 $34.68
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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 $16.51 $17.99 $20.78
Available brands
APO-Lisinoprila
Fibsol 5a
LISINOPRIL-WGRa
Lisinopril Sandoza
Zinopril 5a
Zestrila
* Additional charge for this brand is $4.82B
1 30 5 $21.33 $17.99 $25.60
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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 $17.55 $19.03 $21.82
Available brands
APO-Lisinoprila
Fibsol 10a
LISINOPRIL-WGRa
Lisinopril Sandoza
Zinopril 10a
Zestrila
* Additional charge for this brand is $4.84B
1 30 5 $22.39 $19.03 $26.66
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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
2458JMPNP LISINOPRIL
lisinopril 20 mg tablet, 30 (PI, CMI)
1 30 5 $17.87 $19.35 $22.14
Available brands
APO-Lisinoprila
Fibsol 20a
LISINOPRIL-WGRa
Lisinopril Sandoza
Zinopril 20a
Zestrila
* Additional charge for this brand is $4.83B
1 30 5 $22.70 $19.35 $26.97
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner
  • 60D60-day prescriptions