BUDESONIDE + FORMOTEROL
budesonide 400 microgram/actuation + formoterol fumarate dihydrate 12 microgram/actuation
powder for inhalation, 2 x 60 actuations
Manner of administration:Inhalation By Mouth
Restriction (Streamlined authority code: 7979)
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: 2 | # of repeats: 5 | DPMQ: $61.25 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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budesonide 400 microgram/actuation + formoterol fumarate dihydrate 12 microgram/actuation
powder for inhalation, 2 x 60 actuations
Manner of administration:Inhalation By Mouth
Restriction (Streamlined authority code: 15617)
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: 4 | # of repeats: 5 | DPMQ: $108.72 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
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