METOPROLOL TARTRATE

METOPROLOL TARTRATE (1324Q)

METOPROLOL TARTRATE Tablet 50 mg, 100
1324Q
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: $16.50 Max safety net: $17.98 General Patient Charge: $20.77
Available brands
APO-Metoprolol
METOPROLOL-WGR
Metoprolol Sandoz
Metrol 50
Minax 50
Mistrom
Betaloc
*Additional charge for this brand is $13.15
 DPMQ: $29.65 Max safety net: $17.98 General Patient Charge: $33.92

METOPROLOL TARTRATE (1325R)

METOPROLOL TARTRATE Tablet 100 mg, 60
1325R
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: 60 # of repeats: 5 DPMQ: $16.76 Max safety net: $18.24 General Patient Charge: $21.03
Available brands
APO-Metoprolol
METOPROLOL-WGR
Metoprolol Sandoz
Metrol 100
Minax 100
Mistrom
Betaloc
*Additional charge for this brand is $13.15
 DPMQ: $29.91 Max safety net: $18.24 General Patient Charge: $34.18

METOPROLOL TARTRATE (13541Q)

METOPROLOL TARTRATE Tablet 100 mg, 60
13541Q
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: 120 # of repeats: 5 DPMQ: $19.74 Max safety net: $21.22 General Patient Charge: $24.01
Available brands
APO-Metoprolol
METOPROLOL-WGR
Metoprolol Sandoz
Metrol 100
Minax 100
Mistrom
Betaloc
*Additional charge for this brand is $26.30
 DPMQ: $46.04 Max safety net: $21.22 General Patient Charge: $50.31

METOPROLOL TARTRATE (13598Q)

METOPROLOL TARTRATE Tablet 50 mg, 100
13598Q
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: $19.22 Max safety net: $20.70 General Patient Charge: $23.49
Available brands
APO-Metoprolol
METOPROLOL-WGR
Metoprolol Sandoz
Metrol 50
Minax 50
Mistrom
Betaloc
*Additional charge for this brand is $26.30
 DPMQ: $45.52 Max safety net: $20.70 General Patient Charge: $49.79