OLMESARTAN + AMLODIPINE

olmesartan medoxomil 40 mg + amlodipine 10 mg tablet, 30

OLMESARTAN + AMLODIPINE (13943W)

olmesartan medoxomil 40 mg + amlodipine 10 mg tablet, 30
13943W
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: $25.76 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-OLMESARTAN/AMLODIPINE 40/10
OLMEKAR
OLMESARTAN AMLODIPINE-WGR 40/10
Olmesartan/Amlodipine - MYL 40/10
Olmesartan/Amlodipine Sandoz
Pharmacor Olmesartan Amlodipine 40/10
Sevikar 40/10
*Additional charge for this brand is $8.00
 DPMQ: $33.76 Max safety net: $25.00 General Patient Charge: $33.00