TIOTROPIUM
Manner of administration:Inhalation By Mouth
Restriction
Indication: Bronchospasm and dyspnoea associated with chronic obstructive pulmonary disease
Treatment phase: Long-term maintenance treatment
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: $44.42 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Spiriva Respimat | |||||
Manner of administration:Inhalation By Mouth
Restriction
Indication: Severe asthma
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: $44.42 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Spiriva Respimat | |||||
Manner of administration:Inhalation By Mouth
Restriction (Streamlined authority code: 8606)
Indication: Severe asthma
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: $44.42 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Spiriva Respimat | |||||
Manner of administration:Inhalation By Mouth
Restriction
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: $39.68 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
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Manner of administration:Inhalation By Mouth
Restriction
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: $74.48 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
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Manner of administration:Inhalation By Mouth
Restriction
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: $65.00 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
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|
|||||
Manner of administration:Inhalation By Mouth
Restriction
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: $65.00 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
|
|
|||||
Manner of administration:Inhalation By Mouth
Restriction
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: $39.68 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
|
|
|||||
Manner of administration:Inhalation By Mouth
Restriction (Streamlined authority code: 15754)
Indication: Severe asthma
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: $74.48 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Spiriva Respimat | |||||
Manner of administration:Inhalation By Mouth
Restriction
Indication: Bronchospasm and dyspnoea associated with chronic obstructive pulmonary disease
Treatment phase: Long-term maintenance treatment
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: $74.48 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Spiriva Respimat | |||||