FLUTICASONE FUROATE + VILANTEROL
fluticasone furoate 100 microgram/actuation + vilanterol 25 microgram/actuation powder
for inhalation, 30 actuations
Manner of administration:Inhalation By Mouth
Restriction (Streamlined authority code: 4711)
Indication: Asthma
Restriction (Streamlined authority code: 10121)
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: 1 | # of repeats: 5 | DPMQ: $56.57 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Breo Ellipta 100/25 | |||||
fluticasone furoate 100 microgram/actuation + vilanterol 25 microgram/actuation powder
for inhalation, 30 actuations
Manner of administration:Inhalation By Mouth
Restriction (Streamlined authority code: 15546)
Indication: Asthma
Restriction (Streamlined authority code: 15548)
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: 2 | # of repeats: 5 | DPMQ: $99.36 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Breo Ellipta 100/25 | |||||