METFORMIN

metformin hydrochloride 1 g modified release tablet, 60

METFORMIN (13847T)

metformin hydrochloride 1 g modified release tablet, 60
13847T
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: 120 # of repeats: 5 DPMQ: $22.40 Max safety net: $23.88 General Patient Charge: $25.00
Available brands
APO-Metformin XR 1000
Blooms Metformin XR
Diaformin Alphapharm XR
Diaformin XR 1000
METEX XR
METFORMIN-WGR XR
Metformin Lupin XR
Metformin Sandoz XR
Pharmacor Metformin XR
Diabex XR 1000
*Additional charge for this brand is $10.68
 DPMQ: $33.08 Max safety net: $23.88 General Patient Charge: $35.68