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: $20.78 Max safety net: $22.32 General Patient Charge: $25.00
Available brands
Anpec 80
Isoptin
*Additional charge for this brand is $3.01
 DPMQ: $23.79 Max safety net: $22.32 General Patient Charge: $28.01

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: $27.20 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Anpec 80
Isoptin
*Additional charge for this brand is $6.02
 DPMQ: $33.22 Max safety net: $25.00 General Patient Charge: $31.02