INDACATEROL + GLYCOPYRRONIUM
indacaterol 110 microgram + glycopyrronium 50 microgram powder for inhalation, 30
capsules
Manner of administration:Inhalation By Mouth
Restriction (Streamlined authority code: 7798)
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: 1 | Max qty units: 30 | # of repeats: 5 | DPMQ: $87.32 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| ultibro breezhaler 110/50 | |||||
indacaterol 110 microgram + glycopyrronium 50 microgram powder for inhalation, 30
capsules
Manner of administration:Inhalation By Mouth
Restriction (Streamlined authority code: 15691)
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: 60 | # of repeats: 5 | DPMQ: $163.20 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| ultibro breezhaler 110/50 | |||||