FLUTICASONE PROPIONATE

fluticasone propionate 125 microgram/actuation inhalation, 120 actuations

FLUTICASONE PROPIONATE (14347D)

fluticasone propionate 125 microgram/actuation inhalation, 120 actuations
14347D
Manner of administration:Inhalation By Mouth
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: 2 # of repeats: 5 DPMQ: $40.44 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Axotide
Fluticasone Cipla Inhaler
Flixotide
*Additional charge for this brand is $6.00
DPMQ: $46.44 Max safety net: $25.00 General Patient Charge: $31.00