LINAGLIPTIN + METFORMIN

LINAGLIPTIN + METFORMIN (10038H)

linagliptin 2.5 mg + metformin hydrochloride 500 mg tablet, 60
10038H
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: 60 # of repeats: 5 DPMQ: $56.32 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Trajentamet

LINAGLIPTIN + METFORMIN (10044P)

linagliptin 2.5 mg + metformin hydrochloride 1 g tablet, 60
10044P
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: 60 # of repeats: 5 DPMQ: $57.59 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Trajentamet

LINAGLIPTIN + METFORMIN (10045Q)

linagliptin 2.5 mg + metformin hydrochloride 850 mg tablet, 60
10045Q
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: 60 # of repeats: 5 DPMQ: $57.13 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Trajentamet

LINAGLIPTIN + METFORMIN (13879L)

linagliptin 2.5 mg + metformin hydrochloride 1 g tablet, 60
13879L
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: 120 # of repeats: 5 DPMQ: $100.82 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Trajentamet

LINAGLIPTIN + METFORMIN (13959Q)

linagliptin 2.5 mg + metformin hydrochloride 500 mg tablet, 60
13959Q
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: 120 # of repeats: 5 DPMQ: $98.28 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Trajentamet

LINAGLIPTIN + METFORMIN (14065G)

linagliptin 2.5 mg + metformin hydrochloride 850 mg tablet, 60
14065G
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: 120 # of repeats: 5 DPMQ: $99.90 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Trajentamet