ALOGLIPTIN + METFORMIN

ALOGLIPTIN + METFORMIN (10035E)

alogliptin 12.5 mg + metformin hydrochloride 1 g tablet, 56
10035E
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 15276)

Indication: Diabetes mellitus type 2
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 56 # of repeats: 5 DPMQ: $55.07 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Nesina Met 12.5/1000

ALOGLIPTIN + METFORMIN (13989G)

alogliptin 12.5 mg + metformin hydrochloride 1 g tablet, 56
13989G
Body System:
Manner of administration:Oral
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 15288)

Indication: Diabetes mellitus type 2
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 112 # of repeats: 5 DPMQ: $96.36 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Nesina Met 12.5/1000