FELODIPINE

felodipine 10 mg modified release tablet, 30

FELODIPINE (13531E)

felodipine 10 mg modified release tablet, 30
13531E
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: 60 # of repeats: 5 DPMQ: $28.40 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Felodil XR 10
Felodur ER 10 mg
Plendil ER
*Additional charge for this brand is $7.50
 DPMQ: $35.90 Max safety net: $25.00 General Patient Charge: $32.50