FLUTICASONE PROPIONATE + SALMETEROL
fluticasone propionate 250 microgram/actuation + salmeterol 50 microgram/actuation
powder for inhalation, 60 actuations
FLUTICASONE PROPIONATE + SALMETEROL (8431R)
8431R
Manner of administration:Inhalation By Mouth
Restriction 15138
Indication: Asthma
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
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| Max qty packs: 1 | Max qty units: 1 | # of repeats: 5 | DPMQ: $42.90 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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DPMQ: $47.90 | Max safety net: $25.00 | General Patient Charge: $30.00 | ||
