BISOPROLOL

bisoprolol fumarate 10 mg tablet, 28

BISOPROLOL (13444N)

bisoprolol fumarate 10 mg tablet, 28
13444N
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Moderate to severe heart failure
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 56 # of repeats: 5 DPMQ: $23.26 Max safety net: $24.74 General Patient Charge: $25.00
Available brands
APO-Bisoprolol
BISOPROLOL-WGR
Bicard 10
Bisoprolol Sandoz
Bisoprolol generichealth
Bispro 10
Bicor
*Additional charge for this brand is $7.72
 DPMQ: $30.98 Max safety net: $24.74 General Patient Charge: $32.72