GLIPIZIDE

glipizide 5 mg tablet, 100

GLIPIZIDE (14019W)

glipizide 5 mg tablet, 100
14019W
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: $27.18 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Melizide
Minidiab