TELMISARTAN + HYDROCHLOROTHIAZIDE

telmisartan 80 mg + hydrochlorothiazide 25 mg tablet, 28

TELMISARTAN + HYDROCHLOROTHIAZIDE (9381R)

telmisartan 80 mg + hydrochlorothiazide 25 mg tablet, 28
9381R
Body System:
Manner of administration:Oral
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 28 # of repeats: 5 DPMQ: $18.42 Max safety net: $19.90 General Patient Charge: $22.69
Available brands
APO-Telmisartan HCTZ 80/25
Mizart HCT 80/25 mg
TELMISARTAN HCTZ-WGR 80/25
Telmisartan/HCT Sandoz
Teltartan HCT 80/25
Micardis Plus 80/25 mg
*Additional charge for this brand is $10.00
 DPMQ: $28.42 Max safety net: $19.90 General Patient Charge: $32.69