VERAPAMIL

VERAPAMIL (1250T)

verapamil hydrochloride 80 mg tablet, 100
1250T
Body System:
Manner of administration:Oral
General Schedule
No restrictions
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 100 # of repeats: 5 DPMQ: $20.41 Max safety net: $21.89 General Patient Charge: $24.68
Available brands
Anpec 80
Isoptin
*Additional charge for this brand is $3.10
 DPMQ: $23.51 Max safety net: $21.89 General Patient Charge: $27.78

VERAPAMIL (13530D)

verapamil hydrochloride 80 mg tablet, 100
13530D
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 200 # of repeats: 5 DPMQ: $27.04 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Anpec 80
Isoptin
*Additional charge for this brand is $6.20
 DPMQ: $33.24 Max safety net: $25.00 General Patient Charge: $31.20