FLECAINIDE

FLECAINIDE (1088G)

flecainide acetate 50 mg tablet, 60
1088G
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Serious supra-ventricular cardiac arrhythmias

Restriction

Indication: Serious ventricular cardiac arrhythmias
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: $26.07 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
APO-Flecainide
Flecainide Sandoz
Flecatab
Tambocor
*Additional charge for this brand is $5.01
 DPMQ: $31.08 Max safety net: $25.00 General Patient Charge: $30.01