INDACATEROL + MOMETASONE
indacaterol 125 microgram + mometasone furoate 260 microgram powder for inhalation,
30 capsules
Manner of administration:Inhalation By Mouth
Restriction (Streamlined authority code: 11360)
Indication: 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: 30 | # of repeats: 5 | DPMQ: $59.94 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Atectura Breezhaler | |||||
indacaterol 125 microgram + mometasone furoate 260 microgram powder for inhalation,
30 capsules
Manner of administration:Inhalation By Mouth
Restriction (Streamlined authority code: 15653)
Indication: Asthma
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: $106.10 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Atectura Breezhaler | |||||