BUDESONIDE + GLYCOPYRRONIUM + FORMOTEROL

budesonide 160 microgram/actuation + glycopyrronium 7.2 microgram/actuation + formoterol fumarate dihydrate 5 microgram/actuation inhalation, 120 actuations

BUDESONIDE + GLYCOPYRRONIUM + FORMOTEROL (14536C)

budesonide 160 microgram/actuation + glycopyrronium 7.2 microgram/actuation + formoterol fumarate dihydrate 5 microgram/actuation inhalation, 120 actuations
14536C
Manner of administration:Inhalation By Mouth
General Schedule
Authority Required (STREAMLINED)

Restriction  15543

Indication: Chronic obstructive pulmonary disease (COPD)
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: $146.36 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Breztri Aerosphere