METFORMIN

metformin hydrochloride 500 mg tablet, 100

METFORMIN (13976N)

metformin hydrochloride 500 mg tablet, 100
13976N
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: 200 # of repeats: 5 DPMQ: $20.84 Max safety net: $22.38 General Patient Charge: $25.00
Available brands
APX-METFORMIN
Blooms The Chemist Metformin 500 mg
Diaformin
Diaformin Viatris
FORMET 500
Glucobete 500
METFORMIN-WGR
Metformin GH
Metformin Sandoz
Diabex
*Additional charge for this brand is $10.40
 DPMQ: $31.24 Max safety net: $22.38 General Patient Charge: $35.40